Chandra M Kowalczyk, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Portland, Oregon. Her current practice location is
3181 Sam Jackson Park Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 494-7641.
Chandra M Kowalczyk is licensed to practice in Oregon (license number 202106428CRNA-PP) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073790507.
Physician's Profile
Full Name | Chandra M Kowalczyk |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 3181 Sam Jackson Park Rd, Portland, Oregon |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Chandra M Kowalczyk attended and graduated from in
NPI Data:
- NPI Number: 1073790507
- Provider Enumeration Date: 01/28/2008
- Last Update Date: 11/29/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Chandra M Kowalczyk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073790507 | NPI | - | NPPES |
1073790507 | Medicaid | VA | |
3810021701 | Medicaid | DC | |
414403100 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 132544 (Oklahoma) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 0024167700 (Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 0001210584 (Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 202106428CRNA-PP (Oregon) | 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. Chandra M Kowalczyk 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 |
Chandra M Kowalczyk, CRNA 3181 Sw Sam Jackson Park Rd, Mail Code Sjh-2, Portland, OR 97239-3011 Ph: (503) 494-4910 | Chandra M Kowalczyk, CRNA 3181 Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-7641 |
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