KAREN DOMITILA ZAVALA-ABREGO
NPI 1669272019
Registered Nurse - Maternal Newborn in Gainesville, GA
About Karen Domitila Zavala-abrego NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN DOMITILA ZAVALA-ABREGO (NPI 1669272019) is an individual maternal newborn provider in Gainesville, Georgia, licensed in Georgia (300402) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gainesville, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS Enrollment Status
Karen Zavala-abrego is registered with Medicare but may not accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Karen Zavala-abrego is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8729595855
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250724002409
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669272019, enumerated as an "individual" on March 14, 2025.
The provider is located at 1315 JESSE JEWELL PKWY NE STE 200 GAINESVILLE, GA 30501 and the phone number is (770) 219-9300.
Registered Nurse with taxonomy code 163WM0102X and a focus in Maternal Newborn.