Amanda Rose Kozakiewicz, - Medicare Nurse Practitioner in Mattituck, NY

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Amanda Rose Kozakiewicz, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mattituck, New York. Her current practice location is 11700 Main Rd Ste 1, Mattituck, New York. You can reach out to her office (for appointments etc.) via phone at (631) 624-7839.

Amanda Rose Kozakiewicz is licensed to practice in New York (license number 404432) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669197950.

Contact Information

Amanda Rose Kozakiewicz,
11700 Main Rd Ste 1,
Mattituck, NY 11952-1525
(631) 624-7839
Not Available

Map and Direction




Provider's Profile

Full NameAmanda Rose Kozakiewicz
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location11700 Main Rd Ste 1, Mattituck, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669197950
  • Provider Enumeration Date: 10/10/2022
  • Last Update Date: 10/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1759746548
  • Enrollment ID: I20230501001138

Medical Identifiers

Medical identifiers for Amanda Rose Kozakiewicz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669197950NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 404432 (New York)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. Amanda Rose Kozakiewicz allows following entities to bill medicare on her behalf.
Entity NameFamily Residences And Essential Enterprises Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093863565
PECOS PAC ID: 5890687453
Enrollment ID: O20040327000334

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. Amanda Rose Kozakiewicz 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 AddressPractice Location Address
Amanda Rose Kozakiewicz,
57 Washington Ave,
Patchogue, NY 11772-2950

Ph: () -		Amanda Rose Kozakiewicz,
11700 Main Rd Ste 1,
Mattituck, NY 11952-1525

Ph: (631) 624-7839

Reviews and Comments


Nurse Practitioner Nurses in Mattituck, NY

Mr. Douglas Owen Massey, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 14065 Main Rd, Mattituck, NY 11952
Phone: 631-526-8223    
Stephanie K West, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7905 Main Rd, Mattituck, NY 11952
Phone: 631-298-2030    
Carol Ann Payton, PMH-NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 11700 Main Rd, Mattituck, NY 11952
Phone: 631-624-7839    
Valerie Silverman Harmon, NPP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7555 Main Road, Mattituck, NY 11952
Phone: 631-298-8642    Fax: 631-298-4869
Karen Malcomson, NPP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7555 Main Road, Mattituck, NY 11952
Phone: 631-298-8642    Fax: 631-298-4869

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.