Chandra M Kowalczyk, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Portland, Oregon. She went to University Of Pittsburgh School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice University Anesthesiology Associates Llc and 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 | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 17 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. |
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Medical Education and Training:
- Chandra M Kowalczyk attended and graduated from University Of Pittsburgh School Of Medicine in 2007
NPI Data:
- NPI Number: 1073790507
- Provider Enumeration Date: 01/28/2008
- Last Update Date: 11/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 1355412537
- Enrollment ID: I20210908002669
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Anesthesiology Associates Llc | 6901702869 | 205 |
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. Chandra M Kowalczyk allows following entities to bill medicare on her behalf.
| Entity Name | University Anesthesiology Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841217817
PECOS PAC ID: 6901702869
Enrollment ID: O20031210000967 |
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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. 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 |
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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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