Chris J Kielbasa, DO is a medicare enrolled "Family Medicine" physician in Greenport, New York. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice New York University and his current practice location is
232 4th Ave, Greenport, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 477-0070.
Chris J Kielbasa is licensed to practice in New York (license number 214789) 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 1184672636.
Physician's Profile
| Full Name | Chris J Kielbasa |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 27 Years |
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| Location | 232 4th Ave, Greenport, New York |
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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:
- Chris J Kielbasa attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1997
NPI Data:
- NPI Number: 1184672636
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 02/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 3779576830
- Enrollment ID: I20040406000760
Medical Identifiers
Medical identifiers for Chris J Kielbasa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184672636 | NPI | - | NPPES |
| 20823825 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 214789 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| New York University | 1355232422 | 4495 |
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. Chris J Kielbasa allows following entities to bill medicare on his behalf.
| Entity Name | New York University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026 |
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| Entity Name | Winthrop Community Medical Affiliates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457873077
PECOS PAC ID: 5698092385
Enrollment ID: O20150317001669 |
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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. Chris J Kielbasa 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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Chris J Kielbasa, DO
232 4th Ave,
Greenport, NY 11944-1526
Ph: (631) 477-0070 | Chris J Kielbasa, DO
232 4th Ave,
Greenport, NY 11944-1526
Ph: (631) 477-0070 |
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