Patricia Gail Kodysh, NP in San Diego, CA - Medicare Nurse Practitioner

Patricia Gail Kodysh, NP is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. Her current practice location is 6195 Lusk Blvd Ste 250, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 977-8220.

Patricia Gail Kodysh is licensed to practice in California (license number 17488) 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 1710172135.

Contact Information

	Patricia Gail Kodysh, NP
	6195 Lusk Blvd Ste 250, San Diego, CA 92121-3715
	(619) 977-8220
	Not Available

Map and Direction

Provider's Profile

Full Name	Patricia Gail Kodysh
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6195 Lusk Blvd Ste 250, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710172135
Provider Enumeration Date: 09/10/2007
Last Update Date: 10/31/2022

Medicare PECOS Information:

PECOS PAC ID: 7012072382
Enrollment ID: I20090319000434

Medical Identifiers

Medical identifiers for Patricia Gail Kodysh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710172135	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	608951 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	17488 (California)	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. Patricia Gail Kodysh allows following entities to bill medicare on her behalf.

Entity Name	Infusion4health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508262213 PECOS PAC ID: 9032433206 Enrollment ID: O20150116000328

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. Patricia Gail Kodysh 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
Patricia Gail Kodysh, NP 6195 Lusk Blvd Ste 250, San Diego, CA 92121-3715 Ph: (619) 977-8220	Patricia Gail Kodysh, NP 6195 Lusk Blvd Ste 250, San Diego, CA 92121-3715 Ph: (619) 977-8220

Reviews and Comments

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Patricia Gail Kodysh, NP - Medicare Nurse Practitioner in San Diego, CA