Kristen Kucharczuk, MD is a medicare enrolled "Pediatrics" physician in Penn Valley, Pennsylvania. Her current practice location is
701 Montgomery Ave, Suite 18, Penn Valley, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 642-9200.
Kristen Kucharczuk is licensed to practice in Pennsylvania (license number MD071340L) 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 1053504787.
Physician's Profile
Full Name | Kristen Kucharczuk |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 701 Montgomery Ave, Penn Valley, 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: 1053504787
- Provider Enumeration Date: 08/27/2007
- Last Update Date: 08/02/2012
Medicare PECOS Information:
- PECOS PAC ID: 4688087893
- Enrollment ID: I20210107001749
Medical Identifiers
Medical identifiers for Kristen Kucharczuk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053504787 | NPI | - | NPPES |
0018743340001 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | MD071340L (Pennsylvania) | 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. Kristen Kucharczuk allows following entities to bill medicare on her behalf.
Entity Name | Advocare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20111025000270 |
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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. Kristen Kucharczuk 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 |
Kristen Kucharczuk, MD 402 Lippincott Dr, Marlton, NJ 08053-4112 Ph: (856) 782-3300 | Kristen Kucharczuk, MD 701 Montgomery Ave, Suite 18, Penn Valley, PA 19072-2036 Ph: (610) 642-9200 |
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