Dr Michael Thomas Kolodychak, DMD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Erie, Pennsylvania. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Armanini, Kolodychak, And Basile, L.l.p. and his current practice location is
4600 Zuck Rd, Erie, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(814) 838-2144.
Dr Michael Thomas Kolodychak is licensed to practice in Pennsylvania (license number DS029985L) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376519181.
Healthcare Provider's Profile
| Full Name | Dr Michael Thomas Kolodychak |
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| Gender | Male |
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| Speciality | Oral Surgery |
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| Experience | 24 Years |
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| Location | 4600 Zuck Rd, Erie, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Michael Thomas Kolodychak graduated from medical school in 2000
NPI Data:
- NPI Number: 1376519181
- Provider Enumeration Date: 02/23/2006
- Last Update Date: 06/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 6709780273
- Enrollment ID: I20031125000826
Medical Identifiers
Medical identifiers for Dr Michael Thomas Kolodychak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376519181 | NPI | - | NPPES |
| DS029985L | Other | PA | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS029985L (Pennsylvania) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | DS029985L (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Armanini, Kolodychak, And Basile, L.l.p. | 6709879984 | 2 |
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 Michael Thomas Kolodychak allows following entities to bill medicare on his behalf.
| Entity Name | Armanini, Kolodychak, & Basile, L.l.p. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215972716
PECOS PAC ID: 6709879984
Enrollment ID: O20040405000782 |
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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 Michael Thomas Kolodychak 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 Michael Thomas Kolodychak, DMD
4600 Zuck Rd,
Erie, PA 16506-4932
Ph: (814) 838-2144 | Dr Michael Thomas Kolodychak, DMD
4600 Zuck Rd,
Erie, PA 16506-4932
Ph: (814) 838-2144 |
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