Michael Kuczkowski, PA is a medicare enrolled "Physician Assistant" physician in Jacksonville, Florida. His current practice location is
1 Shircliff Way, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 308-8435.
Michael Kuczkowski is licensed to practice in Florida (license number PA2852) 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 1144263104.
Physician's Profile
Full Name | Michael Kuczkowski |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1 Shircliff Way, Jacksonville, Florida |
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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: 1144263104
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 10/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345307054
- Enrollment ID: I20090325000322
Medical Identifiers
Medical identifiers for Michael Kuczkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144263104 | NPI | - | NPPES |
970007146 | Other | FL | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | PA0002852 (Florida) | Secondary |
363A00000X | Physician Assistant | PA2852 (Florida) | Primary |
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. Michael Kuczkowski 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 |
Michael Kuczkowski, PA Po Box 863026, Orlando, FL 32886-3026 Ph: (800) 288-8325 | Michael Kuczkowski, PA 1 Shircliff Way, Jacksonville, FL 32204 Ph: (904) 308-8435 |
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