Dr Andrew Jan Hajduczek, MD is a medicare enrolled "Surgery" physician in San Pedro, California. His current practice location is
1536 W 25th St, Suite 208, San Pedro, California. You can reach out to his office (for appointments etc.) via phone at
(310) 213-5484.
Dr Andrew Jan Hajduczek is licensed to practice in California (license number A41573) 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 1043272487.
Physician's Profile
| Full Name | Dr Andrew Jan Hajduczek |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 1536 W 25th St, San Pedro, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043272487
- Provider Enumeration Date: 04/03/2006
- Last Update Date: 10/21/2016
Medicare PECOS Information:
- PECOS PAC ID: 9537208012
- Enrollment ID: I20091121000023
Medical Identifiers
Medical identifiers for Dr Andrew Jan Hajduczek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043272487 | NPI | - | NPPES |
| 00A415731 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | A41573 (California) | 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. Dr Andrew Jan Hajduczek 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 |
|---|
Dr Andrew Jan Hajduczek, MD
1536 W 25th St, Suite 208,
San Pedro, CA 90732-4415
Ph: (310) 213-5484 | Dr Andrew Jan Hajduczek, MD
1536 W 25th St, Suite 208,
San Pedro, CA 90732-4415
Ph: (310) 213-5484 |
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