Dr Vida S Kaniecki, MD in Youngstown, OH

Dr Vida S Kaniecki, MD is a medicare enrolled "Pediatrics" physician in Youngstown, Ohio. Her current practice location is 6505 Market St Bldg A1, Youngstown, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 746-8040.

Dr Vida S Kaniecki is licensed to practice in Ohio (license number 35.134780) 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 1730131723.

Contact Information

	Dr Vida S Kaniecki, MD
	6505 Market St Bldg A1, Youngstown, OH 44512-3457
	(330) 746-8040
	(330) 746-8025

Map and Direction

Physician's Profile

Full Name	Dr Vida S Kaniecki
Gender	Female
Speciality	Pediatrics
Location	6505 Market St Bldg A1, Youngstown, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730131723
Provider Enumeration Date: 05/17/2006
Last Update Date: 11/23/2020

Medicare PECOS Information:

PECOS PAC ID: 4486657293
Enrollment ID: I20190306000198

Medical Identifiers

Medical identifiers for Dr Vida S Kaniecki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730131723	NPI	-	NPPES
0012772440001	Medicaid	PA
198726H87	Other	PA	MEDICARE PTAN
1730131723	Other		NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35.134780 (Ohio)	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 Vida S Kaniecki allows following entities to bill medicare on her behalf.

Entity Name	Children's Hospital Medical Center Of Akron
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841328853 PECOS PAC ID: 0648183012 Enrollment ID: O20031111000484

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 Vida S Kaniecki 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 Vida S Kaniecki, MD 6505 Market St Bldg A1, Boardman, OH 44512-3457 Ph: (330) 746-8040	Dr Vida S Kaniecki, MD 6505 Market St Bldg A1, Youngstown, OH 44512-3457 Ph: (330) 746-8040

Reviews and Comments

Pediatrics Doctors in Youngstown, OH

Michael G Saalouke, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 Gypsy Ln, Youngstown, OH 44504 Phone: 330-884-3991
Dr. Omer Shaikh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4308 Belmont Ave, Youngstown, OH 44505 Phone: 330-759-9670 Fax: 330-759-9705
Gilda Isabel Mateo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1044 Belmont Ave, St. Elizabeth Ambulatory Care, Youngstown, OH 44504 Phone: 330-480-3257 Fax: 330-480-2031
Carrie Oklota Fadell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4308 Belmont Ave, Youngstown, OH 44505 Phone: 330-759-9670
Dr. John James Anderson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 Gypsy Ln, Youngstown, OH 44504 Phone: 330-884-3957 Fax: 330-884-5684
Dr. Joseph A. Bethuy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3622 Belmont Ave, Suites 13 & 14, Youngstown, OH 44505 Phone: 330-759-6888 Fax: 330-759-8028
Erin M. Donley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 850 E Western Reserve Rd Ste 3a, Youngstown, OH 44514 Phone: 330-531-8006 Fax: 330-663-7514

Dr Vida S Kaniecki, MD - Medicare Pediatrics in Youngstown, OH