Dr Kenneth T Cieslak, DC is a medicare enrolled "Specialist/technologist - Athletic Trainer" provider in Bogota, New Jersey. His current practice location is
61 E Main St, Bogota, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 390-1816.
Dr Kenneth T Cieslak is licensed to practice in New Jersey (license number 25MT00033300) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164539375.
Healthcare Provider's Profile
| Full Name | Dr Kenneth T Cieslak |
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| Gender | Male |
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| Speciality | Specialist/technologist - Athletic Trainer |
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| Location | 61 E Main St, Bogota, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164539375
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9436528171
- Enrollment ID: I20221220000216
Medical Identifiers
Medical identifiers for Dr Kenneth T Cieslak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164539375 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 38MC00490000 (New Jersey) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 25MT00033300 (New Jersey) | 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. Dr Kenneth T Cieslak allows following entities to bill medicare on his behalf.
| Provider Name | Ferraro Spine & Rehabilitation Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1346357654
PECOS PAC ID: 4082503875
Enrollment ID: O20040311000241 |
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| Provider Name | Garden State Spine And Rehabilitation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780282269
PECOS PAC ID: 0143631283
Enrollment ID: O20201123000412 |
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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. Dr Kenneth T Cieslak 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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Dr Kenneth T Cieslak, DC
12 Osborne Ter,
Wayne, NJ 07470-4362
Ph: (973) 709-0574 | Dr Kenneth T Cieslak, DC
61 E Main St,
Bogota, NJ 07603-1369
Ph: (201) 390-1816 |
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