Elizabeth Mazezka, DO is a medicare enrolled "Internal Medicine" physician in Kingwood, West Virginia. Her current practice location is
110 N Price St, Kingwood, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 329-3500.
Elizabeth Mazezka is licensed to practice in West Virginia (license number 4499) 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 1861997033.
Physician's Profile
| Full Name | Elizabeth Mazezka |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 110 N Price St, Kingwood, West Virginia |
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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: 1861997033
- Provider Enumeration Date: 03/28/2018
- Last Update Date: 12/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709134240
- Enrollment ID: I20211014000208
Medical Identifiers
Medical identifiers for Elizabeth Mazezka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861997033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | OS021649 (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | 4499 (West Virginia) | 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. Elizabeth Mazezka allows following entities to bill medicare on her behalf.
| Entity Name | Fayette Physician Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992107817
PECOS PAC ID: 3375865819
Enrollment ID: O20141211000851 |
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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. Elizabeth Mazezka 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 |
|---|
Elizabeth Mazezka, DO
150 Memorial Dr,
Kingwood, WV 26537-1141
Ph: (304) 329-1400 | Elizabeth Mazezka, DO
110 N Price St,
Kingwood, WV 26537-1120
Ph: (304) 329-3500 |
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