Liza Ann Eiriksson, APRN is a medicare enrolled "Nurse Practitioner" in Baker, Florida. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Emerald Coast Dermatology And Skin Surgery Center P A and her current practice location is
1200 Henley Ln, Baker, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 537-9312.
Liza Ann Eiriksson is licensed to practice in Florida (license number 11001194) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396201190.
Provider's Profile
| Full Name | Liza Ann Eiriksson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 1200 Henley Ln, Baker, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Liza Ann Eiriksson graduated from nursing school in 2018
NPI Data:
- NPI Number: 1396201190
- Provider Enumeration Date: 02/16/2019
- Last Update Date: 09/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 0941533285
- Enrollment ID: I20190531000958
Medical Identifiers
Medical identifiers for Liza Ann Eiriksson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396201190 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 11001194 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Emerald Coast Dermatology And Skin Surgery Center P A | 7618928318 | 6 |
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. Liza Ann Eiriksson allows following entities to bill medicare on her behalf.
| Entity Name | Emerald Coast Dermatology & Skin Surgery Center P A |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386639912
PECOS PAC ID: 7618928318
Enrollment ID: O20050209000754 |
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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. Liza Ann Eiriksson 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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Liza Ann Eiriksson, APRN
1030 Tallokas Rd,
Crestview, FL 32536-5552
Ph: () - | Liza Ann Eiriksson, APRN
1200 Henley Ln,
Baker, FL 32531-2702
Ph: (850) 537-9312 |
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