Emily Ezra, is a medicare enrolled "Nurse Practitioner - Family" physician in Denver, Colorado. Her current practice location is
895 S Logan St, Denver, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 733-3764.
Emily Ezra is licensed to practice in Colorado (license number APN.099958-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 1538907639.
Physician's Profile
| Full Name | Emily Ezra |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 895 S Logan St, Denver, Colorado |
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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: 1538907639
- Provider Enumeration Date: 07/15/2024
- Last Update Date: 09/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436690245
- Enrollment ID: I20240920000193
Medical Identifiers
Medical identifiers for Emily Ezra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538907639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | APN.099958-NP (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN.099958-NP (Colorado) | 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. Emily Ezra allows following entities to bill medicare on her behalf.
| Entity Name | Mednow Clinics, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669888764
PECOS PAC ID: 0042533242
Enrollment ID: O20141219000130 |
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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. Emily Ezra 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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Emily Ezra,
3462 S Fairfax St,
Denver, CO 80222-7325
Ph: () - | Emily Ezra,
895 S Logan St,
Denver, CO 80209-4127
Ph: (303) 733-3764 |
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