Peter J Kordiyak, PA C is a
Physician Assistant based in Little Chute, Wisconsin. Peter J Kordiyak is licensed to practice in Wisconsin (license number 123) and his current practice location is
200 Patriot Drive, Little Chute, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 687-2800.
NPI number for Peter J Kordiyak is 1043207707 and his current mailing address is N6545 Harrison Rd, Hilbert, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043207707.
Provider's Profile
| Full Name | Peter J Kordiyak |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 200 Patriot Drive, Little Chute, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043207707
- Provider Enumeration Date: 09/28/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Peter J Kordiyak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043207707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 123 (Wisconsin) | 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. Peter J Kordiyak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Peter J Kordiyak, PA C
N6545 Harrison Rd,
Hilbert, WI 54129
Ph: (920) 687-2800 | Peter J Kordiyak, PA C
200 Patriot Drive,
Little Chute, WI 54140
Ph: (920) 687-2800 |
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