Patrick J Pucelik, ARNP is a medicare enrolled "Nurse Practitioner" in Whiting, Iowa. He graduated from nursing school in 2001 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Shelby County Chris A Myrtue Memorial Hospital and his current practice location is
153 Blair St, Whiting, Iowa. You can reach out to his office (for appointments etc.) via phone at
(712) 455-2431.
Patrick J Pucelik is licensed to practice in Iowa (license number A-106028) 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 1649247362.
Provider's Profile
| Full Name | Patrick J Pucelik |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 24 Years |
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| Location | 153 Blair St, Whiting, Iowa |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Patrick J Pucelik graduated from nursing school in 2001
NPI Data:
- NPI Number: 1649247362
- Provider Enumeration Date: 03/01/2006
- Last Update Date: 05/21/2008
Medicare PECOS Information:
- PECOS PAC ID: 6406917236
- Enrollment ID: I20100816001087
Medical Identifiers
Medical identifiers for Patrick J Pucelik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649247362 | NPI | - | NPPES |
| 500018631 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | A-106028 (Iowa) | Primary |
| 208D00000X | General Practice | A-106028 (Iowa) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Shelby County Chris A Myrtue Memorial Hospital | 5193619393 | 41 |
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. Patrick J Pucelik allows following entities to bill medicare on his behalf.
| Entity Name | Shelby County Chris A Myrtue Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922184175
PECOS PAC ID: 5193619393
Enrollment ID: O20040210000133 |
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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. Patrick J Pucelik 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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Patrick J Pucelik, ARNP
153 Blair St,
Whiting, IA 51063-1007
Ph: (712) 455-2431 | Patrick J Pucelik, ARNP
153 Blair St,
Whiting, IA 51063-1007
Ph: (712) 455-2431 |
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