Eugene Jon Pietzak, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Philadelphia, Pennsylvania. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Urology. He is a member of the group practice Mskcc Surgery Group, Mskcc Regional Network and his current practice location is
3400 Spruce St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 349-5042.
Eugene Jon Pietzak is licensed to practice in Pennsylvania (license number MT197755) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043539729.
Physician's Profile
Full Name | Eugene Jon Pietzak |
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Gender | Male |
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Speciality | Urology |
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Experience | 14 Years |
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Location | 3400 Spruce St, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Eugene Jon Pietzak graduated from medical school in 2010
NPI Data:
- NPI Number: 1043539729
- Provider Enumeration Date: 05/20/2010
- Last Update Date: 05/20/2010
Medicare PECOS Information:
- PECOS PAC ID: 5890081772
- Enrollment ID: I20160831002262
Medical Identifiers
Medical identifiers for Eugene Jon Pietzak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043539729 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | MT197755 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | MT197755 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mskcc Surgery Group | 0345131405 | 265 |
Mskcc Regional Network | 6608765144 | 78 |
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. Eugene Jon Pietzak allows following entities to bill medicare on his behalf.
Entity Name | Mskcc Regional Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740251297 PECOS PAC ID: 6608765144 Enrollment ID: O20040312000936 |
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Entity Name | Mskcc Surgery Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699766261 PECOS PAC ID: 0345131405 Enrollment ID: O20040320000446 |
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Entity Name | Msk Nassau |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053875229 PECOS PAC ID: 8628311685 Enrollment ID: O20190522000541 |
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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. Eugene Jon Pietzak 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 |
Eugene Jon Pietzak, MD 3400 Spruce St, Philadelphia, PA 19104-4206 Ph: (215) 349-5042 | Eugene Jon Pietzak, MD 3400 Spruce St, Philadelphia, PA 19104-4206 Ph: (215) 349-5042 |
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