Jerzy Grzebieluch, Md, Llc in Fort Walton Beach, FL

Jerzy Grzebieluch, Md, Llc is a medicare enrolled primary clinic (Clinic/center) in Fort Walton Beach, Florida. The current practice location for Jerzy Grzebieluch, Md, Llc is 4 2nd St Se, Fort Walton Beach, Florida. For appointments, you can reach them via phone at (850) 864-2008. The mailing address for Jerzy Grzebieluch, Md, Llc is 4 2nd St Se, Fort Walton Beach, Florida and phone number is (850) 864-2008.

Jerzy Grzebieluch, Md, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1447809298. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (850) 864-2008.

Contact Information

	Jerzy Grzebieluch, Md, Llc
	4 2nd St Se Fort Walton Beach FL 32548-5502
	(850) 864-2008
	(850) 864-5008

Map and Direction

Primary Care Clinic Profile

Full Name	Jerzy Grzebieluch, Md, Llc
Speciality	Clinic/Center
Location	4 2nd St Se, Fort Walton Beach, Florida
Authorized Official Name and Position	Jerzy Grzebieluch (OWNER)
Authorized Official Contact	8508642008
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jerzy Grzebieluch, Md, Llc 4 2nd St Se Fort Walton Beach FL 32548-5502 Ph: (850) 864-2008	Jerzy Grzebieluch, Md, Llc 4 2nd St Se Fort Walton Beach FL 32548-5502 Ph: (850) 864-2008

NPI Details:

NPI Number	1447809298
Provider Enumeration Date	09/04/2019
Last Update Date	09/04/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	8224460423
Medicare Enrollment ID	O20191108001189

Medical Identifiers

Medical identifiers for Jerzy Grzebieluch, Md, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447809298	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jerzy Grzebieluch, Md, Llc acts as a billing entity for following providers:

Provider Name	Jerzy J Grzebieluch
Provider Type	Practitioner - Psychiatry
Provider Identifiers	NPI Number: 1740397025 PECOS PAC ID: 3779573662 Enrollment ID: I20040513000707

Reviews and Comments

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Jerzy Grzebieluch, Md, Llc - Medicare Primary Care in Fort Walton Beach, FL