Ms Justyna E Pomiotlo, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Blue Island, Illinois. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Oak Street Health Physicians Group Pc and her current practice location is
3046 127th St, Blue Island, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 377-7920.
Ms Justyna E Pomiotlo is licensed to practice in Illinois (license number 209.012475) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629475546.
Physician's Profile
| Full Name | Ms Justyna E Pomiotlo |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 3046 127th St, Blue Island, Illinois |
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| Accepts Medicare Assignments | Yes. She 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:
- Ms Justyna E Pomiotlo graduated from medical school in 2014
NPI Data:
- NPI Number: 1629475546
- Provider Enumeration Date: 11/20/2014
- Last Update Date: 09/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 5698094621
- Enrollment ID: I20230914003565
Medical Identifiers
Medical identifiers for Ms Justyna E Pomiotlo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629475546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 28168329A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71005312A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209.012475 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Oak Street Health Physicians Group Pc | 7517109879 | 187 |
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. Ms Justyna E Pomiotlo allows following entities to bill medicare on her behalf.
| Entity Name | Oak Street Health Physicians Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083051643
PECOS PAC ID: 7517109879
Enrollment ID: O20130815000670 |
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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. Ms Justyna E Pomiotlo 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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Ms Justyna E Pomiotlo, NP
Po Box 746721,
Atlanta, GA 30374-6721
Ph: (312) 733-9730 | Ms Justyna E Pomiotlo, NP
3046 127th St,
Blue Island, IL 60406-1827
Ph: (708) 377-7920 |
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