Karaine Eziolisa, RN in Fairfield, OH - Medicare Nurse Practitioner

Karaine Eziolisa, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fairfield, Ohio. Her current practice location is 6570 Sosna Drive, Fairfield, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 892-4673.

Karaine Eziolisa is licensed to practice in Ohio (license number APRN.CNP.0032741) 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 1235807744.

Contact Information

	Karaine Eziolisa, RN
	6570 Sosna Drive, Fairfield, OH 45014-2637
	(513) 892-4673
	Not Available

Map and Direction

Provider's Profile

Full Name	Karaine Eziolisa
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	6570 Sosna Drive, Fairfield, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235807744
Provider Enumeration Date: 08/31/2021
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 0042663130
Enrollment ID: I20240124004567

Medical Identifiers

Medical identifiers for Karaine Eziolisa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235807744	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN.423610 (Ohio)	Secondary
163WP0808X	Registered Nurse - Psychiatric/mental Health	RN.423610 (Ohio)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN.CNP.0032741 (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. Karaine Eziolisa allows following entities to bill medicare on her behalf.

Entity Name	Decoach Team Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366992224 PECOS PAC ID: 7517244551 Enrollment ID: O20170501001472

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. Karaine Eziolisa 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
Karaine Eziolisa, RN 100 Crowne Point Pl, Cincinnati, OH 45241-5427 Ph: (513) 743-7628	Karaine Eziolisa, RN 6570 Sosna Drive, Fairfield, OH 45014-2637 Ph: (513) 892-4673

Reviews and Comments

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Karaine Eziolisa, RN - Medicare Nurse Practitioner in Fairfield, OH