Dr Connie Sue Tezie, DNP, CNP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Broadview Hts, Ohio. Her current practice location is
5901 E Royalton Rd Ste 2100, Broadview Hts, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 526-8222.
Dr Connie Sue Tezie is licensed to practice in Ohio (license number 04583-NP) 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 1225174634.
Physician's Profile
| Full Name | Dr Connie Sue Tezie |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Pediatrics |
|---|
| Location | 5901 E Royalton Rd Ste 2100, Broadview Hts, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1225174634
- Provider Enumeration Date: 01/30/2007
- Last Update Date: 12/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 5496843831
- Enrollment ID: I20071119000053
Medical Identifiers
Medical identifiers for Dr Connie Sue Tezie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225174634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | RN266839 (Ohio) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 04583-NP (Ohio) | 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. Dr Connie Sue Tezie allows following entities to bill medicare on her behalf.
| Entity Name | University Hospitals Medical Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301 |
|---|
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. Dr Connie Sue Tezie 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 |
|---|
Dr Connie Sue Tezie, DNP, CNP
Kids In The Sun Pediatrics, 5901 East Royalton Road, Suite 2100,
Broadview Hts, OH 44147
Ph: (440) 526-8222 | Dr Connie Sue Tezie, DNP, CNP
5901 E Royalton Rd Ste 2100,
Broadview Hts, OH 44147-3532
Ph: (440) 526-8222 |
Reviews and Comments