Ms Carol Anne Kozik, FNP is a medicare enrolled "Nurse Practitioner - Family" in Nedrow, New York. Her current practice location is
4446 S Onondaga Rd, Nedrow, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 200-6689.
Ms Carol Anne Kozik is licensed to practice in New York (license number 331510) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538581038.
Provider's Profile
| Full Name | Ms Carol Anne Kozik |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 4446 S Onondaga Rd, Nedrow, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538581038
- Provider Enumeration Date: 01/17/2014
- Last Update Date: 02/08/2016
Medicare PECOS Information:
- PECOS PAC ID: 8325363559
- Enrollment ID: I20160318001353
Medical Identifiers
Medical identifiers for Ms Carol Anne Kozik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538581038 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 331510 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Carol Anne Kozik allows following entities to bill medicare on her behalf.
| Entity Name | Liberty Resources Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225254881
PECOS PAC ID: 4486703352
Enrollment ID: O20090526000025 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Carol Anne Kozik is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ms Carol Anne Kozik, FNP
124 Rugby Rd,
Syracuse, NY 13206-3225
Ph: (315) 437-1693 | Ms Carol Anne Kozik, FNP
4446 S Onondaga Rd,
Nedrow, NY 13120-9766
Ph: (315) 200-6689 |
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