Eziaha R Georgewill, APRN-BC, C in Hazel Crest, IL

Eziaha R Georgewill, APRN-BC, C is a medicare enrolled "Nurse Practitioner - Primary Care" in Hazel Crest, Illinois. Her current practice location is 17800 Kedzie Ave # A, Hazel Crest, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 799-8000.

Eziaha R Georgewill is licensed to practice in Illinois (license number 209.021912) 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 1013521038.

Contact Information

	Eziaha R Georgewill, APRN-BC, C
	17800 Kedzie Ave # A, Hazel Crest, IL 60429-2029
	(708) 799-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Eziaha R Georgewill
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	17800 Kedzie Ave # A, Hazel Crest, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013521038
Provider Enumeration Date: 09/08/2020
Last Update Date: 09/08/2020

Medicare PECOS Information:

PECOS PAC ID: 3870956360
Enrollment ID: I20230831001028

Medical Identifiers

Medical identifiers for Eziaha R Georgewill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013521038	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	209.021912 (Illinois)	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. Eziaha R Georgewill allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002247

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. Eziaha R Georgewill 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
Eziaha R Georgewill, APRN-BC, C 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 Ph: (708) 799-8000	Eziaha R Georgewill, APRN-BC, C 17800 Kedzie Ave # A, Hazel Crest, IL 60429-2029 Ph: (708) 799-8000

Reviews and Comments

Nurse Practitioner Nurses in Hazel Crest, IL

Sumar Abushaqra, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200
Tawakalitu Afolashade Babawale, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3710 Village Dr, Hazel Crest, IL 60429 Phone: 773-719-0070
Sharyl L Sadowski, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-799-8000
Ms. Rachel Cheeks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 312-609-0300
Andrea Pawlak, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200
Naila A O'connell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 Fax: 708-213-0144

Eziaha R Georgewill, APRN-BC, C - Medicare Nurse Practitioner in Hazel Crest, IL