Keith A Podolak, FNP-C in Chandler, AZ - Medicare Nurse Practitioner

Keith A Podolak, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Chandler, Arizona. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Cogent Healthcare Of Arizona Pc, Century Care Inc and his current practice location is 4045 W Chandler Blvd Bldg F, Chandler, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 917-3706.

Keith A Podolak is licensed to practice in Arizona (license number TEMP261770) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568138527.

Contact Information

	Keith A Podolak, FNP-C
	4045 W Chandler Blvd Bldg F, Chandler, AZ 85226-3732
	(480) 917-3706
	(480) 353-2066

Map and Direction

Provider's Profile

Full Name	Keith A Podolak
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	4045 W Chandler Blvd Bldg F, Chandler, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keith A Podolak graduated from nursing school in 2021

NPI Data:

NPI Number: 1568138527
Provider Enumeration Date: 08/19/2021
Last Update Date: 08/19/2021

Medicare PECOS Information:

PECOS PAC ID: 9739579707
Enrollment ID: I20211206001953

Medical Identifiers

Medical identifiers for Keith A Podolak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568138527	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	TEMP261770 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aegis Hospice, Inc.	Chandler, AZ	Hospice

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cogent Healthcare Of Arizona Pc	0648441006	82
Century Care Inc	3971665605	44

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. Keith A Podolak allows following entities to bill medicare on his behalf.

Entity Name	Century Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346499324 PECOS PAC ID: 3971665605 Enrollment ID: O20090203000530

Entity Name	Cogent Healthcare Of Arizona Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568758266 PECOS PAC ID: 0648441006 Enrollment ID: O20110915000843

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. Keith A Podolak 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
Keith A Podolak, FNP-C 4045 W Chandler Blvd Bldg F, Chandler, AZ 85226-3732 Ph: (480) 917-3706	Keith A Podolak, FNP-C 4045 W Chandler Blvd Bldg F, Chandler, AZ 85226-3732 Ph: (480) 917-3706

Reviews and Comments

Nurse Practitioner Nurses in Chandler, AZ

Ms. Jennifer Ann Green, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3887 S Soho Ln, Chandler, AZ 85286 Phone: 602-327-6641
Terry L Horine, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2971 W Elliot Rd Ste 1, Chandler, AZ 85224 Phone: 480-733-5483
Mrs. Lois Maria Henderson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1076 W Chandler Blvd, Suite 113, Chandler, AZ 85224 Phone: 480-963-9334
Jo Ann Owen Gott, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 715 N Cholla St, Chandler, AZ 85224 Phone: 480-203-1046
Saralyn Heddleston, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 485 S Dobson Rd Ste 201, Chandler, AZ 85224 Phone: 480-728-4700 Fax: 480-728-4747
Ms. Amber Pena Posey, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2470 W Ray Rd Ste 4, Chandler, AZ 85224 Phone: 480-245-7385 Fax: 480-207-6053
Ms. Jerwonna Glover, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3008 N Dobson Rd Ste 2, Chandler, AZ 85224 Phone: 480-496-2699

Keith A Podolak, FNP-C - Medicare Nurse Practitioner in Chandler, AZ