Mrs Michelle Nicole Kruczowy, PA in Riverhead, NY

Mrs Michelle Nicole Kruczowy, PA is a medicare enrolled "Physician Assistant" in Riverhead, New York. Her current practice location is 1300 Roanoke Ave, Riverhead, New York. You can reach out to her office (for appointments etc.) via phone at (631) 548-6000.

Mrs Michelle Nicole Kruczowy is licensed to practice in New York (license number 017333) 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 1619396983.

Contact Information

	Mrs Michelle Nicole Kruczowy, PA
	1300 Roanoke Ave, Riverhead, NY 11901-2031
	(631) 548-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Michelle Nicole Kruczowy
Gender	Female
Speciality	Physician Assistant
Location	1300 Roanoke Ave, Riverhead, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619396983
Provider Enumeration Date: 04/15/2014
Last Update Date: 03/04/2022

Medicare PECOS Information:

PECOS PAC ID: 2163648171
Enrollment ID: I20140729000911

Medical Identifiers

Medical identifiers for Mrs Michelle Nicole Kruczowy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619396983	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	017333 (New York)	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. Mrs Michelle Nicole Kruczowy 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
Mrs Michelle Nicole Kruczowy, PA 1300 Roanoke Ave, Riverhead, NY 11901-2031 Ph: (516) 465-3083	Mrs Michelle Nicole Kruczowy, PA 1300 Roanoke Ave, Riverhead, NY 11901-2031 Ph: (631) 548-6000

Reviews and Comments

Physician Assistant Nurses in Riverhead, NY

Joanne Elizabeth Cotrone, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Heroes Way, Riverhead, NY 11901 Phone: 631-548-6200
Ms. Nicole Elise Auclair-masone, RPAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1228 E Main St, Riverhead, NY 11901 Phone: 631-988-2197
Courtney Malia Clemons, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Heroes Way, Riverhead, NY 11901 Phone: 631-548-6000
Kasidy Smith, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Heroes Way, Riverhead, NY 11901 Phone: 631-538-8860
Ms. Fizzah Idrees-iqbal, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1279 E Main St, Riverhead, NY 11901 Phone: 631-727-2100
Allison Keneski, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 E Main St, Riverhead, NY 11901 Phone: 631-591-3093 Fax: 631-317-1010
Jeremiah Carrol Edington, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1228 E Main St Ste C, Riverhead, NY 11901 Phone: 631-603-3400 Fax: 631-603-3401

Mrs Michelle Nicole Kruczowy, PA - Medicare Physician Assistant in Riverhead, NY