Brian James Potocnik, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Cleveland, Ohio. His current practice location is
9500 Euclid Ave # Na-23, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 444-2200.
Brian James Potocnik is licensed to practice in Ohio (license number 00000000) 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 1326667544.
Physician's Profile
Full Name | Brian James Potocnik |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 9500 Euclid Ave # Na-23, Cleveland, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326667544
- Provider Enumeration Date: 04/09/2020
- Last Update Date: 04/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 8426489105
- Enrollment ID: I20200513001054
Medical Identifiers
Medical identifiers for Brian James Potocnik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326667544 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 00000000 (Ohio) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 00000000 (Ohio) | Primary |
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. Brian James Potocnik 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 |
Brian James Potocnik, 9500 Euclid Ave # Na-23, Cleveland, OH 44195-0001 Ph: (216) 444-2200 | Brian James Potocnik, 9500 Euclid Ave # Na-23, Cleveland, OH 44195-0001 Ph: (216) 444-2200 |
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