Mrs Elisheva Privalsky, is a medicare enrolled "Nurse Practitioner - Family" physician in Lakewood, New Jersey. Her current practice location is
1201 River Ave Unit 10, Lakewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 775-0222.
Mrs Elisheva Privalsky is licensed to practice in New Jersey (license number F06232148) 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 1023841483.
Physician's Profile
Full Name | Mrs Elisheva Privalsky |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1201 River Ave Unit 10, Lakewood, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023841483
- Provider Enumeration Date: 08/21/2024
- Last Update Date: 08/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 4385175330
- Enrollment ID: I20241002001094
Medical Identifiers
Medical identifiers for Mrs Elisheva Privalsky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023841483 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | F06232148 (New Jersey) | Secondary |
363LF0000X | Nurse Practitioner - Family | F06232148 (New Jersey) | 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. Mrs Elisheva Privalsky allows following entities to bill medicare on her behalf.
Entity Name | Woundworks Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093303273 PECOS PAC ID: 2961894894 Enrollment ID: O20220126001214 |
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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. Mrs Elisheva Privalsky 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 |
Mrs Elisheva Privalsky, 865 Hwy 33 Ste 3, Unit # 130, Freehold, NJ 07728 Ph: (732) 908-8354 | Mrs Elisheva Privalsky, 1201 River Ave Unit 10, Lakewood, NJ 08701-5676 Ph: (732) 775-0222 |
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