Mr Jeffrey Frank Kolaczkowski, MSW LISW LCSW in Dayton, OH

Mr Jeffrey Frank Kolaczkowski, MSW LISW LCSW is a medicare enrolled "Social Worker - Clinical" provider in Dayton, Ohio. His current practice location is 1320 Woodman Dr, Suite 200, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 223-1781.

Mr Jeffrey Frank Kolaczkowski is licensed to practice in Ohio (license number I0008388) 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 1821070137.

Contact Information

	Mr Jeffrey Frank Kolaczkowski, MSW LISW LCSW
	1320 Woodman Dr, Suite 200, Dayton, OH 45432-3497
	(937) 223-1781
	(937) 853-0096

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jeffrey Frank Kolaczkowski
Gender	Male
Speciality	Social Worker - Clinical
Location	1320 Woodman Dr, Dayton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821070137
Provider Enumeration Date: 11/14/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2961316989
Enrollment ID: I20050714001092

Medical Identifiers

Medical identifiers for Mr Jeffrey Frank Kolaczkowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821070137	NPI	-	NPPES
2272231	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I0008388 (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. Mr Jeffrey Frank Kolaczkowski allows following entities to bill medicare on his behalf.

Entity Name	Wellness Card Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558678151 PECOS PAC ID: 6800078791 Enrollment ID: O20110314001091

Entity Name	Woodman Primary Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346582608 PECOS PAC ID: 7416199799 Enrollment ID: O20130815000922

Entity Name	Communikare Behavior Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124584636 PECOS PAC ID: 9234561838 Enrollment ID: O20191120001920

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. Mr Jeffrey Frank Kolaczkowski 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
Mr Jeffrey Frank Kolaczkowski, MSW LISW LCSW 1320 Woodman Dr, Suite 200, Dayton, OH 45432-3497 Ph: (937) 223-1781	Mr Jeffrey Frank Kolaczkowski, MSW LISW LCSW 1320 Woodman Dr, Suite 200, Dayton, OH 45432-3497 Ph: (937) 223-1781

Reviews and Comments

Social Worker in Dayton, OH

Carrie Cook Latt, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1010 Valley St, Dayton, OH 45404 Phone: 937-641-3401 Fax: 937-641-3046
Elizabeth Dawn Morgan, MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 289 Hilltop Dr, Dayton, OH 45415 Phone: 513-407-2944
Ms. Mawausi Ssabah Arraheem, MSW, CSW, LICDC,LPN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Dayton, OH 45428 Phone: 937-268-6511
Holly T Lefevre, MSSA, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-5300 Fax: 937-641-5134
Lacey Walker, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1785 Big Hill Rd, Dayton, OH 45439 Phone: 937-264-0084
Nicholle Megan Bair, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Building 410, Dayton, OH 45428 Phone: 937-268-6511
Stephanie Ann Bricker, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Dayton, OH 45428 Phone: 937-268-6511

Mr Jeffrey Frank Kolaczkowski, MSW LISW LCSW - Medicare Clinical Social Worker in Dayton, OH