Kamil Krukowski, DO is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Burlington, Wisconsin. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Undersea And Hyperbaric Medicine. He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is
252 Mchenry St, Burlington, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 767-6484.
Kamil Krukowski is licensed to practice in Wisconsin (license number 63604) 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 1366703563.
Physician's Profile
| Full Name | Kamil Krukowski |
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| Gender | Male |
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| Speciality | Undersea And Hyperbaric Medicine |
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| Experience | 12 Years |
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| Location | 252 Mchenry St, Burlington, Wisconsin |
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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. |
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Medical Education and Training:
- Kamil Krukowski graduated from medical school in 2012
NPI Data:
- NPI Number: 1366703563
- Provider Enumeration Date: 06/04/2012
- Last Update Date: 08/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 6709190770
- Enrollment ID: I20150804005354
Medical Identifiers
Medical identifiers for Kamil Krukowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366703563 | NPI | - | NPPES |
| 1366703563 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 63604-21 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 5101019677 (Michigan) | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 63604 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Aurora Medical Group, Inc. | 6709794258 | 3269 |
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. Kamil Krukowski allows following entities to bill medicare on his behalf.
| Entity Name | Aurora Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725 |
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| Entity Name | Mercy Health System Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031113000164 |
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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. Kamil Krukowski 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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Kamil Krukowski, DO
Po Box 735044,
Chicago, IL 60673-5044
Ph: () - | Kamil Krukowski, DO
252 Mchenry St,
Burlington, WI 53105-1828
Ph: (262) 767-6484 |
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