Edward Joseph Kloniecke Iii, MD is a medicare enrolled "Urology" physician in Pittston, Pennsylvania. His current practice location is
1201 Oak St, Pittston, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 808-9800.
Edward Joseph Kloniecke Iii is licensed to practice in Pennsylvania (license number MD481135) 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 1538693676.
Physician's Profile
Full Name | Edward Joseph Kloniecke Iii |
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Gender | Male |
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Speciality | Urology |
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Location | 1201 Oak St, Pittston, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538693676
- Provider Enumeration Date: 04/15/2017
- Last Update Date: 10/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971869504
- Enrollment ID: I20230829000388
Medical Identifiers
Medical identifiers for Edward Joseph Kloniecke Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538693676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | MD481135 (Pennsylvania) | Primary |
208800000X | Urology | MT214398 (Pennsylvania) | Secondary |
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. Edward Joseph Kloniecke Iii allows following entities to bill medicare on his behalf.
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
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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. Edward Joseph Kloniecke Iii 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 |
Edward Joseph Kloniecke Iii, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Edward Joseph Kloniecke Iii, MD 1201 Oak St, Pittston, PA 18640-3798 Ph: (570) 808-9800 |
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