Jan Czerepak, DO is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" physician in Philadelphia, Pennsylvania. His current practice location is
2401 Pennsylvania Ave Ste B9, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 629-1353.
Jan Czerepak is licensed to practice in New Jersey (license number 25MB06847100) 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 1922416387.
Physician's Profile
Full Name | Jan Czerepak |
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Gender | Male |
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Speciality | Neuromusculoskeletal Medicine & Omm |
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Location | 2401 Pennsylvania Ave Ste B9, Philadelphia, 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: 1922416387
- Provider Enumeration Date: 07/30/2014
- Last Update Date: 12/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 7416939632
- Enrollment ID: I20220831000254
Medical Identifiers
Medical identifiers for Jan Czerepak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922416387 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 25MB06847100 (New Jersey) | Secondary |
208D00000X | General Practice | 25MB06847100 (New Jersey) | Secondary |
204D00000X | Neuromusculoskeletal Medicine & Omm | 25MB06847100 (New Jersey) | 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. Jan Czerepak allows following entities to bill medicare on his behalf.
Entity Name | Rowansom Nmi Osteopathic Manipulative Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447220611 PECOS PAC ID: 0244212140 Enrollment ID: O20040603001386 |
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Entity Name | Hearsay Ent Docs Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962649780 PECOS PAC ID: 7113075490 Enrollment ID: O20181106002889 |
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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. Jan Czerepak 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 |
Jan Czerepak, DO 325 Molnar Dr, Elmwood Park, NJ 07407-3207 Ph: () - | Jan Czerepak, DO 2401 Pennsylvania Ave Ste B9, Philadelphia, PA 19130-3010 Ph: (215) 629-1353 |
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