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 |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 9500 Euclid Ave # Na-23, Cleveland, Ohio |
|---|
| 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: I20240807001974
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 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. Brian James Potocnik allows following entities to bill medicare on his behalf.
| Entity Name | University Of North Carolina At Chapel Hill |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1780669200
PECOS PAC ID: 0648181156
Enrollment ID: O20031105000359 |
|---|
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 |
Reviews and Comments