Dr Jacob Kozacki, DO - Medicare Family Medicine in Florence, SC

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Dr Jacob Kozacki, DO is a medicare enrolled "Family Medicine" physician in Florence, South Carolina. His current practice location is 1594 Freedom Blvd Ste 202, Florence, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 664-9696.

Dr Jacob Kozacki is licensed to practice in South Carolina (license number 82166) 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 1396205878.

Contact Information

Dr Jacob Kozacki, DO
1594 Freedom Blvd Ste 202,
Florence, SC 29505-6046
(843) 664-9696
Not Available

Map and Direction




Physician's Profile

Full NameDr Jacob Kozacki
GenderMale
SpecialityFamily Medicine
Location1594 Freedom Blvd Ste 202, Florence, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396205878
  • Provider Enumeration Date: 03/21/2019
  • Last Update Date: 06/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6204166069
  • Enrollment ID: I20220822003404

Medical Identifiers

Medical identifiers for Dr Jacob Kozacki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396205878NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 82166 (South Carolina)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. Dr Jacob Kozacki allows following entities to bill medicare on his behalf.
Entity NameSt Francis Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457057622
PECOS PAC ID: 6608826821
Enrollment ID: O20050126000259
Entity NameMusc Community Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841878006
PECOS PAC ID: 6507260668
Enrollment ID: O20210811002388

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 Jacob Kozacki 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 AddressPractice Location Address
Dr Jacob Kozacki, DO
1594 Freedom Blvd Ste 202,
Florence, SC 29505-6046

Ph: (843) 664-9696		Dr Jacob Kozacki, DO
1594 Freedom Blvd Ste 202,
Florence, SC 29505-6046

Ph: (843) 664-9696

Reviews and Comments


Family Medicine Doctors in Florence, SC

Dr. James Johnson, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 555 E Cheves St, Florence, SC 29506
Phone: 843-777-5738    
Dr. Andrew Westfall, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 555 E Cheves St, Florence, SC 29506
Phone: 843-777-5738    
Dr. Caitlin Basnight, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 555 E Cheves St, Florence, SC 29506
Phone: 843-777-5738    
John R. Mattheis, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 555 E Cheves St, Florence, SC 29506
Phone: 843-777-2800    Fax: 843-777-2810
Mr. Anand R Swamy, PH.D
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 555 E Cheves St, Florence, SC 29506
Phone: 843-777-2800    
William H. Hester, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 555 E Cheves St, Florence, SC 29506
Phone: 843-777-2800    Fax: 843-777-2810
Tabitha Elizabeth Davis Stellato,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 144 N Ravenel St, Florence, SC 29506
Phone: 843-777-2800    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.