Jeremiah James Palicka, RN, SRNA in Tucson, AZ

Jeremiah James Palicka, RN, SRNA is a medicare enrolled "Registered Nurse - Critical Care Medicine" in Tucson, Arizona. His current practice location is 1625 N Campbell Ave, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 694-0111.

Jeremiah James Palicka is licensed to practice in Arizona (license number RN210075) 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 1184236531.

Contact Information

	Jeremiah James Palicka, RN, SRNA
	1625 N Campbell Ave, Tucson, AZ 85719-4330
	(520) 694-0111
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeremiah James Palicka
Gender	Male
Speciality	Registered Nurse - Critical Care Medicine
Location	1625 N Campbell Ave, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184236531
Provider Enumeration Date: 08/18/2020
Last Update Date: 08/01/2022

Medicare PECOS Information:

PECOS PAC ID: 2264895838
Enrollment ID: I20230830000093

Medical Identifiers

Medical identifiers for Jeremiah James Palicka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184236531	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	RN210075 (Arizona)	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. Jeremiah James Palicka allows following entities to bill medicare on his behalf.

Entity Name	Northstar Anesthesia Of Virginia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20220120002585

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. Jeremiah James Palicka 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
Jeremiah James Palicka, RN, SRNA 6968 W Tacna Dr, Tucson, AZ 85743-1422 Ph: (520) 603-2259	Jeremiah James Palicka, RN, SRNA 1625 N Campbell Ave, Tucson, AZ 85719-4330 Ph: (520) 694-0111

Reviews and Comments

Registered Nurse Nurses in Tucson, AZ

Lori H. Mulick, NP Registered Nurse Medicare: Medicare Enrolled Practice Location: 6565 E. Carondelet, Ste. 300, Tucson, AZ 85710 Phone: 520-323-0333 Fax: 520-323-5036
Margie Anne Hamlin, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Highway 86, Tucson, AZ 85702 Phone: 520-383-7200
Alexis Ortega Cortez, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 102 N Plumer Ave, Tucson, AZ 85719 Phone: 520-225-3284
Laura Ann Lichtenwalner, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 102 N Plumer Ave, Tucson, AZ 85719 Phone: 520-225-3284
Robyn Olson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1010 E 10th St, Tucson, AZ 85719 Phone: 520-225-3284
Lisa Kay Robertson, MSN, AGNP-C Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 504 W 29th St, Tucson, AZ 85713 Phone: 520-838-5600
Frederick V Marino, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1305 N Martin Ave, Tucson, AZ 85721 Phone: 520-626-3808

Jeremiah James Palicka, RN, SRNA - Medicare Registered Nurse in Tucson, AZ