Stanislaw P Dajczak, MD is a medicare enrolled "Orthopaedic Surgery" physician in Defiance, Ohio. His current practice location is
1250 Ralston Ave, Suite 102, Defiance, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 783-6996.
Stanislaw P Dajczak is licensed to practice in Ohio (license number 35085114) 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 1104819705.
Physician's Profile
| Full Name | Stanislaw P Dajczak |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1250 Ralston Ave, Defiance, Ohio |
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| Accepts Medicare Assignments | Yes. He 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:
- Stanislaw P Dajczak attended and graduated from in
NPI Data:
- NPI Number: 1104819705
- Provider Enumeration Date: 08/30/2005
- Last Update Date: 04/30/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Stanislaw P Dajczak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104819705 | NPI | - | NPPES |
| 000000362612 | Other | OH | ANTHEM |
| 5598615 | Other | | AETNA |
| 04648 | Other | OH | PHC |
| PO0192953 | Other | OH | RRMC |
| 17-98831 | Other | OH | UHC |
| 2542001 | Medicaid | OH | |
| P00192953 | Other | OH | RRMC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 35085114 (Ohio) | 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. Stanislaw P Dajczak 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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Stanislaw P Dajczak, MD
1250 Ralston Ave, Suite 102,
Defiance, OH 43512-5311
Ph: (419) 783-6996 | Stanislaw P Dajczak, MD
1250 Ralston Ave, Suite 102,
Defiance, OH 43512-5311
Ph: (419) 783-6996 |
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