Ida Kolodziejczyk, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Sisters, Oregon. Her current practice location is
352 E Hood Ave Ste D, Sisters, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 904-4427.
Ida Kolodziejczyk is licensed to practice in Oregon (license number 64740) 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 1982317228.
Physician's Profile
| Full Name | Ida Kolodziejczyk |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 352 E Hood Ave Ste D, Sisters, Oregon |
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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: 1982317228
- Provider Enumeration Date: 01/02/2023
- Last Update Date: 01/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 1850762741
- Enrollment ID: I20230201002087
Medical Identifiers
Medical identifiers for Ida Kolodziejczyk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982317228 | NPI | - | NPPES |
| 64740 | Other | OR | DPT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 64740 (Oregon) | 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. Ida Kolodziejczyk allows following entities to bill medicare on her behalf.
| Entity Name | Redbird Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306213913
PECOS PAC ID: 3870891278
Enrollment ID: O20160419001228 |
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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. Ida Kolodziejczyk 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 |
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Ida Kolodziejczyk,
1441 Sw Chandler Ave Ste 103,
Bend, OR 97702-3208
Ph: (541) 797-3052 | Ida Kolodziejczyk,
352 E Hood Ave Ste D,
Sisters, OR 97759-1619
Ph: (541) 904-4427 |
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