Kenneth A Bodziak, MD in Worcester, MA

Kenneth A Bodziak, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Worcester, Massachusetts. He went to University Of Cincinnati College Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Banner - University Super Specialists Llc and his current practice location is 55 Lake Ave N, Worcester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 334-1269.

Kenneth A Bodziak is licensed to practice in Massachusetts (license number 262575) 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 1699790295.

Contact Information

	Kenneth A Bodziak, MD
	55 Lake Ave N, Worcester, MA 01655-0002
	(508) 334-1269
	(774) 443-7827

Map and Direction

Physician's Profile

Full Name	Kenneth A Bodziak
Gender	Male
Speciality	Nephrology
Experience	37 Years
Location	55 Lake Ave N, Worcester, Massachusetts
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:

Kenneth A Bodziak attended and graduated from University Of Cincinnati College Of Medicine in 1987

NPI Data:

NPI Number: 1699790295
Provider Enumeration Date: 07/13/2006
Last Update Date: 11/17/2020

Medicare PECOS Information:

PECOS PAC ID: 2961392246
Enrollment ID: I20211129001467

Medical Identifiers

Medical identifiers for Kenneth A Bodziak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699790295	NPI	-	NPPES
110104086A	Medicaid	MA
4504993	Other	OH	AETNA
390007777	Other	OH	RAILROAD MEDICARE
000000224247	Other		UNISON
741798	Other		BUCKEYE
000000539531	Other		ANTHEM
363368	Other		WELLCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	262575 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Banner - University Medical Center Phoenix	Phoenix, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner - University Super Specialists Llc	1850695255	21

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. Kenneth A Bodziak allows following entities to bill medicare on his behalf.

Entity Name	Banner - University Super Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740650555 PECOS PAC ID: 1850695255 Enrollment ID: O20160204002443

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. Kenneth A Bodziak 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
Kenneth A Bodziak, MD Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885	Kenneth A Bodziak, MD 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 334-1269

Reviews and Comments

Internal Medicine Doctors in Worcester, MA

Dr. Adepeju Gbadebo Champion, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-2731 Fax: 774-442-4672
Madaiah Lokeshwari, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-6849
Sowmya Korapati, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3550 Fax: 774-442-6715
Irma Nadeem Hashmi, DO Nephrology Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000
Dr. Madhav Sharma, MD Nephrology Medicare: Medicare Enrolled Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-5438
Daniel M Steigman, MD Nephrology Medicare: Medicare Enrolled Practice Location: 123 Summer Street, Suite 390, Worcester, MA 01608 Phone: 508-368-3120 Fax: 508-368-3121
Dr. Julia D Andrieni, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of General Medicine, Worcester, MA 01655 Phone: 508-334-2731

Kenneth A Bodziak, MD - Medicare Nephrology in Worcester, MA