Haley D Kostecki, PA is a medicare enrolled "Physician Assistant" in Dongola, Illinois. Her current practice location is
318 Us Highway 51 N, Dongola, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 827-3545.
Haley D Kostecki is licensed to practice in Illinois (license number 085.005612) 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 1457721532.
Provider's Profile
Full Name | Haley D Kostecki |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 318 Us Highway 51 N, Dongola, Illinois |
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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: 1457721532
- Provider Enumeration Date: 10/01/2015
- Last Update Date: 04/25/2016
Medicare PECOS Information:
- PECOS PAC ID: 4082923297
- Enrollment ID: I20151028001988
Medical Identifiers
Medical identifiers for Haley D Kostecki such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457721532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 085.005612 (Illinois) | 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. Haley D Kostecki 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 |
Haley D Kostecki, PA 513 N Main St, Anna, IL 62906-1668 Ph: (618) 833-4471 | Haley D Kostecki, PA 318 Us Highway 51 N, Dongola, IL 62926-1103 Ph: (618) 827-3545 |
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