Pawel Patryk Klimkiewicz, FNP in Champlain, NY

Pawel Patryk Klimkiewicz, FNP is a medicare enrolled "Nurse Practitioner - Family" in Champlain, New York. His current practice location is 828 State Route 11, Champlain, New York. You can reach out to his office (for appointments etc.) via phone at (518) 298-2691.

Pawel Patryk Klimkiewicz is licensed to practice in New York (license number F341848) 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 1972029585.

Contact Information

	Pawel Patryk Klimkiewicz, FNP
	828 State Route 11, Champlain, NY 12919-4966
	(518) 298-2691
	(518) 298-8241

Map and Direction

Provider's Profile

Full Name	Pawel Patryk Klimkiewicz
Gender	Male
Speciality	Nurse Practitioner - Family
Location	828 State Route 11, Champlain, 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: 1972029585
Provider Enumeration Date: 08/15/2017
Last Update Date: 10/24/2024

Medicare PECOS Information:

PECOS PAC ID: 4486928827
Enrollment ID: I20170922002000

Medical Identifiers

Medical identifiers for Pawel Patryk Klimkiewicz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972029585	NPI	-	NPPES
04823649	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F341848 (New York)	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. Pawel Patryk Klimkiewicz allows following entities to bill medicare on his behalf.

Entity Name	William N Pelton
Entity Type	Practitioner - Internal Medicine
Entity Identifiers	NPI Number: 1184696841 PECOS PAC ID: 1254391022 Enrollment ID: I20041015000381

Entity Name	William Pelton, Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033842042 PECOS PAC ID: 8426426263 Enrollment ID: O20221129000126

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. Pawel Patryk Klimkiewicz 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
Pawel Patryk Klimkiewicz, FNP 9 Carey Rd, Queensbury, NY 12804-7880 Ph: (518) 761-0300	Pawel Patryk Klimkiewicz, FNP 828 State Route 11, Champlain, NY 12919-4966 Ph: (518) 298-2691

Reviews and Comments

Nurse Practitioner Nurses in Champlain, NY

Emmalee Colby, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241
Kailene Leila Jones, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241
Marilyn P Mcclure, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 481 Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241
Sarah L Howell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 481 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241
Nicole A Baker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241
Lori A Robinson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 481 Route 11, Champlain, NY 12919 Phone: 518-298-2691
Shahbanoo Ghaffari Zandi, N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 481 Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241

Pawel Patryk Klimkiewicz, FNP - Medicare Nurse Practitioner in Champlain, NY