Liza A Mozingo, MPA, PA-C is a
Physician Assistant based in Hernando, Florida. Liza A Mozingo is licensed to practice in Virginia (license number 0110002033) and her current practice location is
8036 N Howard Hughes Way, Hernando, Florida. She can be reached at her office (for appointments etc.) via phone at
(571) 286-7076.
NPI number for Liza A Mozingo is 1548252232 and her current mailing address is Po Box 17598, Pmb 6149, Baltimore, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548252232.
Provider's Profile
| Full Name | Liza A Mozingo |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 8036 N Howard Hughes Way, Hernando, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548252232
- Provider Enumeration Date: 08/18/2005
- Last Update Date: 03/02/2018
Medical Identifiers
Medical identifiers for Liza A Mozingo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548252232 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 0110002033 (Virginia) | Primary |
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. Liza A Mozingo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Liza A Mozingo, MPA, PA-C
Po Box 17598, Pmb 6149,
Baltimore, MD 21297-1598
Ph: () - | Liza A Mozingo, MPA, PA-C
8036 N Howard Hughes Way,
Hernando, FL 34442-2188
Ph: (571) 286-7076 |
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