Dr Laura A Cieslik, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Fort Morgan, Colorado. Her current practice location is
1000 Lincoln St, Suite 203, Fort Morgan, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 542-0390.
Dr Laura A Cieslik is licensed to practice in Colorado (license number DR-50334) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417147620.
Physician's Profile
| Full Name | Dr Laura A Cieslik |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 1000 Lincoln St, Fort Morgan, Colorado |
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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: 1417147620
- Provider Enumeration Date: 07/25/2007
- Last Update Date: 03/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 5698947810
- Enrollment ID: I20210226001881
Medical Identifiers
Medical identifiers for Dr Laura A Cieslik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417147620 | NPI | - | NPPES |
| 2171001 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | C146599 (California) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD61043294 (Washington) | Secondary |
| 208M00000X | Hospitalist | MD61043294 (Washington) | Secondary |
| 207V00000X | Obstetrics & Gynecology | DR-50334 (Colorado) | 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 Laura A Cieslik allows following entities to bill medicare on her behalf.
| Entity Name | Obhg California Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215258892
PECOS PAC ID: 8729276795
Enrollment ID: O20101217000826 |
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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. Dr Laura A Cieslik 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 Laura A Cieslik, MD
1000 Lincoln St, Suite 203,
Fort Morgan, CO 80701-3290
Ph: (970) 542-0390 | Dr Laura A Cieslik, MD
1000 Lincoln St, Suite 203,
Fort Morgan, CO 80701-3290
Ph: (970) 542-0390 |
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