David Michael Klacik, CNP - Medicare Nurse Practitioner in Poland, OH

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David Michael Klacik, CNP is a medicare enrolled "Nurse Practitioner - Family" in Poland, Ohio. His current practice location is 715 E Western Reserve Rd, Poland, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 726-3204.

David Michael Klacik is licensed to practice in Ohio (license number APRN.CNP.021064) 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 1306375787.

Contact Information

David Michael Klacik, CNP
715 E Western Reserve Rd,
Poland, OH 44514-3358
(330) 726-3204
(330) 729-9316

Map and Direction




Provider's Profile

Full NameDavid Michael Klacik
GenderMale
SpecialityNurse Practitioner - Family
Location715 E Western Reserve Rd, Poland, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306375787
  • Provider Enumeration Date: 06/08/2017
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5597035717
  • Enrollment ID: I20170720003022

Medical Identifiers

Medical identifiers for David Michael Klacik such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306375787NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.021064 (Ohio)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. David Michael Klacik allows following entities to bill medicare on his behalf.
Entity NameMercy Health Physicians Youngstown, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154636066
PECOS PAC ID: 9234318270
Enrollment ID: O20110124000753
Entity NameMercy Health Physicians Youngstown Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649892225
PECOS PAC ID: 3476950296
Enrollment ID: O20210921003835

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. David Michael Klacik 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
David Michael Klacik, CNP
715 E Western Reserve Rd,
Poland, OH 44514-3358

Ph: (330) 726-3204		David Michael Klacik, CNP
715 E Western Reserve Rd,
Poland, OH 44514-3358

Ph: (330) 726-3204

Reviews and Comments


Nurse Practitioner Nurses in Poland, OH

Amanda L. Roeder, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 715 E Western Reserve Rd Fl 2, Poland, OH 44514
Phone: 330-726-3204    Fax: 330-306-8319
Tanya Sue Huckshold, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 715 E Western Reserve Rd, Poland, OH 44514
Phone: 330-726-3204    Fax: 330-729-9316
Lorene Martin, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 807 Southwestern Run, Poland, OH 44514
Phone: 330-729-0059    Fax: 330-729-9297
Jason Joseph Koenig, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 715 E Western Reserve Rd, Poland, OH 44514
Phone: 330-726-3204    
Jodi Micsky, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 715 E Western Reserve Rd, Poland, OH 44514
Phone: 330-726-3204    Fax: 330-729-9316
Mrs. Gabrielle Eisel, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9190 Springfield Rd Apt 19c, Poland, OH 44514
Phone: 234-567-1698    
Heather K Heutsche, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 905 Sahara Trl, Poland, OH 44514
Phone: 330-729-8970    Fax: 330-729-8971

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.