Peter Earl David Kaczkofsky, DO in Wyoming, MI - Medicare Obstetrics/gynecology

Peter Earl David Kaczkofsky, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Wyoming, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Metropolitan Hospital and his current practice location is 2221 Health Dr Sw, Wyoming, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 252-4410.

Peter Earl David Kaczkofsky is licensed to practice in Michigan (license number 012006) 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 1710089453.

Contact Information

	Peter Earl David Kaczkofsky, DO
	2221 Health Dr Sw, Wyoming, MI 49509
	(616) 252-4410
	(616) 252-4480

Map and Direction

Physician's Profile

Full Name	Peter Earl David Kaczkofsky
Gender	Male
Speciality	Obstetrics/gynecology
Experience	31 Years
Location	2221 Health Dr Sw, Wyoming, Michigan
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:

Peter Earl David Kaczkofsky attended and graduated from Michigan State University College Of Osteopathic Medicine in 1993

NPI Data:

NPI Number: 1710089453
Provider Enumeration Date: 09/02/2006
Last Update Date: 12/08/2017

Medicare PECOS Information:

PECOS PAC ID: 1658325113
Enrollment ID: I20050308000511

Medical Identifiers

Medical identifiers for Peter Earl David Kaczkofsky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710089453	NPI	-	NPPES
1654101584	Other	MI	BLUE CARE NETWORD
4708195	Medicaid	MI
4708275	Medicaid	MI
4708005	Medicaid	MI
1654101584	Other	MI	BLUE CROSS BLUE SHIELD
4708168	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	012006 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Metro Health Hospital	Wyoming, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Metropolitan Hospital	5597651836	360

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. Peter Earl David Kaczkofsky allows following entities to bill medicare on his behalf.

Entity Name	Metropolitan Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811937519 PECOS PAC ID: 5597651836 Enrollment ID: O20040507000012

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. Peter Earl David Kaczkofsky 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
Peter Earl David Kaczkofsky, DO 5900 Byron Center Ave Sw, Medical Administration, Wyoming, MI 49519-9700 Ph: (616) 252-3243	Peter Earl David Kaczkofsky, DO 2221 Health Dr Sw, Wyoming, MI 49509 Ph: (616) 252-4410

Reviews and Comments

Obstetrics & Gynecology Doctors in Wyoming, MI

Dr. Jeffrey D. Postlewaite, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 781 36th St Se, Wyoming, MI 49548 Phone: 616-252-4100 Fax: 616-252-4953
Dr. Ria M May, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200
Dr. Matthew Brian Shelnutt, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200
Steven John Lown, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2221 Health Dr Sw, Wyoming, MI 49509 Phone: 616-252-4410 Fax: 616-252-4480
Mary Beth Grey, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2221 Health Dr Sw, Wyoming, MI 49509 Phone: 616-532-5025 Fax: 616-532-6126
Dr. Tracie Nicole Rulewicz, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2221 Health Dr Sw, Wyoming, MI 49519 Phone: 616-252-4410 Fax: 616-252-4480
Dr. Katherine Kelly Hansul, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2221 Health Dr Sw, Wyoming, MI 49519 Phone: 616-532-5025 Fax: 616-301-1915

Peter Earl David Kaczkofsky, DO - Medicare Obstetrics/gynecology in Wyoming, MI