Dr Edward Michael Galiczynski Jr, DO is a medicare enrolled "Dermatology" physician in Wake Forest, North Carolina. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2006 and has 18 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Center For Dermatology Pllc, Arizona Skin And Laser Therapy Institute Ltd and his current practice location is
11640 Northpark Dr Ste 200, Wake Forest, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 436-4124.
Dr Edward Michael Galiczynski Jr is licensed to practice in North Carolina (license number 2024-00253) 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 1255517041.
Physician's Profile
| Full Name | Dr Edward Michael Galiczynski Jr |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 18 Years |
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| Location | 11640 Northpark Dr Ste 200, Wake Forest, North Carolina |
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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:
- Dr Edward Michael Galiczynski Jr attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2006
NPI Data:
- NPI Number: 1255517041
- Provider Enumeration Date: 01/11/2008
- Last Update Date: 05/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 3779730841
- Enrollment ID: I20120823000938
Medical Identifiers
Medical identifiers for Dr Edward Michael Galiczynski Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255517041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 2024-00253 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Center For Dermatology Pllc | 1557355385 | 63 |
| Arizona Skin And Laser Therapy Institute Ltd | 6204720626 | 13 |
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. Dr Edward Michael Galiczynski Jr allows following entities to bill medicare on his behalf.
| Entity Name | Arizona Skin And Laser Therapy Institute Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740373257
PECOS PAC ID: 6204720626
Enrollment ID: O20040209000424 |
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| Entity Name | Center For Dermatology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194792416
PECOS PAC ID: 1557355385
Enrollment ID: O20040413001574 |
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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. Dr Edward Michael Galiczynski Jr 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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Dr Edward Michael Galiczynski Jr, DO
2224 W Northern Ave Ste D300,
Phoenix, AZ 85021-5099
Ph: (602) 277-1449 | Dr Edward Michael Galiczynski Jr, DO
11640 Northpark Dr Ste 200,
Wake Forest, NC 27587-5741
Ph: (919) 436-4124 |
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