Thomas J Rozwadowski, MD is a medicare enrolled "Emergency Medicine" physician in Ba, California. His current practice location is
555 7th St, Ba, California. You can reach out to his office (for appointments etc.) via phone at
(760) 957-3203.
Thomas J Rozwadowski is licensed to practice in California (license number A104716) 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 1508917105.
Physician's Profile
Full Name | Thomas J Rozwadowski |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 555 7th St, Ba, California |
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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: 1508917105
- Provider Enumeration Date: 01/12/2007
- Last Update Date: 09/22/2009
Medicare PECOS Information:
- PECOS PAC ID: 9032277835
- Enrollment ID: I20181214001338
Medical Identifiers
Medical identifiers for Thomas J Rozwadowski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508917105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | ME 100274 (Florida) | Secondary |
207P00000X | Emergency Medicine | A104716 (California) | 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. Thomas J Rozwadowski allows following entities to bill medicare on his behalf.
Entity Name | Paragon Emergency Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
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Entity Name | Lake Oliver Emergency Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013675016 PECOS PAC ID: 4688060940 Enrollment ID: O20220413002299 |
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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. Thomas J Rozwadowski 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 |
Thomas J Rozwadowski, MD 1905 Blue Ridge Rd, Ridgecrest, CA 93555-2703 Ph: (904) 327-7121 | Thomas J Rozwadowski, MD 555 7th St, Ba, CA 93556-0808 Ph: (760) 957-3203 |
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