Dr Seth Addison Kozlowski, DO, PA-C is a medicare enrolled "Emergency Medicine" in Myrtle Beach, South Carolina. His current practice location is
809 82nd Pkwy, Myrtle Beach, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 692-1752.
Dr Seth Addison Kozlowski is licensed to practice in South Carolina (license number LL41042) 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 1700121324.
Provider's Profile
| Full Name | Dr Seth Addison Kozlowski |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 809 82nd Pkwy, Myrtle Beach, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700121324
- Provider Enumeration Date: 12/07/2012
- Last Update Date: 06/19/2017
Medicare PECOS Information:
- PECOS PAC ID: 9537313515
- Enrollment ID: I20200211002874
Medical Identifiers
Medical identifiers for Dr Seth Addison Kozlowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700121324 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | MA055905 (Pennsylvania) | Secondary |
| 207P00000X | Emergency Medicine | LL41042 (South Carolina) | 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. Dr Seth Addison Kozlowski allows following entities to bill medicare on his behalf.
| Entity Name | Acs Primary Care Physicians - Southeast Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861430555
PECOS PAC ID: 5193620714
Enrollment ID: O20090401000270 |
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| Entity Name | Ich Er Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174002059
PECOS PAC ID: 2860744331
Enrollment ID: O20181010003402 |
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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. Dr Seth Addison Kozlowski 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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Dr Seth Addison Kozlowski, DO, PA-C
809 82nd Pkwy,
Myrtle Beach, SC 29572-4607
Ph: (843) 692-1752 | Dr Seth Addison Kozlowski, DO, PA-C
809 82nd Pkwy,
Myrtle Beach, SC 29572-4607
Ph: (843) 692-1752 |
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