Eugene Jon Pietzak, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Philadelphia, Pennsylvania. 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 | |
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Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1043539729
- Provider Enumeration Date: 05/20/2010
- Last Update Date: 05/20/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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