Kenneth Jackimczyk, MD - Medicare Emergency Medicine in Phoenix, AZ

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Kenneth Jackimczyk, MD is a medicare enrolled "Emergency Medicine" physician in Phoenix, Arizona. His current practice location is 2601 E Roosevelt St, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 344-5418.

Kenneth Jackimczyk is licensed to practice in Arizona (license number 21852) 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 1598704058.

Contact Information

Kenneth Jackimczyk, MD
2601 E Roosevelt St,
Phoenix, AZ 85008-4973
(602) 344-5418
Not Available

Map and Direction




Physician's Profile

Full NameKenneth Jackimczyk
GenderMale
SpecialityEmergency Medicine
Location2601 E Roosevelt St, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598704058
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4486821618
  • Enrollment ID: I20120111000531

Medical Identifiers

Medical identifiers for Kenneth Jackimczyk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598704058NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 21852 (Arizona)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. Kenneth Jackimczyk allows following entities to bill medicare on his behalf.
Entity NameDistrict Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336472448
PECOS PAC ID: 7315086691
Enrollment ID: O20091125000583

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 Jackimczyk 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 AddressPractice Location Address
Kenneth Jackimczyk, MD
3255 E Elwood St, #110,
Phoenix, AZ 85034-7256

Ph: (602) 470-5043		Kenneth Jackimczyk, MD
2601 E Roosevelt St,
Phoenix, AZ 85008-4973

Ph: (602) 344-5418

Reviews and Comments


Emergency Medicine Doctors in Phoenix, AZ

Dr. Joel Philip Betz, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008
Phone: 602-344-5411    
Beth Marie Ranney, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012
Phone: 480-500-2540    
Dr. Carrie Lynn Cook, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1111 E Mcdowell Rd, Phoenix, AZ 85006
Phone: 480-500-2540    Fax: 623-201-7954
Joseph Choi,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2000 W Bethany Home Rd, Phoenix, AZ 85015
Phone: 602-249-0212    
Diana M Bui, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054
Phone: 480-301-8000    
Dr. Diana Lynelle Dabell, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1300 N 12th St, Ste 301, Phoenix, AZ 85006
Phone: 602-839-6968    
Dr. Jason B Daniels, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5102 W Campbell Ave, Phoenix, AZ 85031
Phone: 623-848-5000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.