Dr Paul Plocek, MD - Medicare Family Medicine in Louisville, CO

Dr Paul Plocek, MD is a medicare enrolled "Family Medicine" physician in Louisville, Colorado. His current practice location is 279 Chestnut St, Louisville, Colorado. You can reach out to his office (for appointments etc.) via phone at (720) 589-9283.

Dr Paul Plocek is licensed to practice in Colorado (license number DR.0058127) 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 1952388530.

Contact Information

Dr Paul Plocek, MD
279 Chestnut St,
Louisville, CO 80027-2624
(720) 589-9283
(720) 589-9283

Map and Direction




Physician's Profile

Full NameDr Paul Plocek
GenderMale
SpecialityFamily Medicine
Location279 Chestnut St, Louisville, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952388530
  • Provider Enumeration Date: 12/27/2005
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0143594770
  • Enrollment ID: I20180226000562

Medical Identifiers

Medical identifiers for Dr Paul Plocek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952388530NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD064873L (Pennsylvania)Secondary
207Q00000XFamily Medicine DR.0058127 (Colorado)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. Dr Paul Plocek allows following entities to bill medicare on his behalf.
Entity NameAmerican Current Care Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811178213
PECOS PAC ID: 9739260019
Enrollment ID: O20090518000222
Entity NameQuality Urgent Care Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497227060
PECOS PAC ID: 5092053751
Enrollment ID: O20190205002968

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 Paul Plocek 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 AddressPractice Location Address
Dr Paul Plocek, MD
279 Chestnut St,
Louisville, CO 80027-2624

Ph: (720) 589-9283
Dr Paul Plocek, MD
279 Chestnut St,
Louisville, CO 80027-2624

Ph: (720) 589-9283

Reviews and Comments


Family Medicine Doctors in Louisville, CO

Dr. Lora Leigh Bulmahn, MD
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Phone: 303-666-4949    Fax: 303-666-4950
Dr. Daniel Conrad Laperriere, M.D.
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Dr. Carl Elwood Meredith, MD
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Phone: 303-666-7119    
Dr. Kevin Scott Boehm, M.D.
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Practice Location: 1044 S 88th St Ste 2, Louisville, CO 80027
Phone: 303-666-7119    Fax: 303-666-0220
Randolph Pinto, M.D.
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Practice Location: 80 Health Park Dr, Suite 100, Louisville, CO 80027
Phone: 303-666-2710    
Dr. Terry Lee Hackney, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 333 W South Boulder Rd, Ste 1, Louisville, CO 80027
Phone: 303-666-4313    Fax: 303-666-4369
Dr. Elaine Stephanie Rusin, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 100 Health Park Dr, Louisville, CO 80027
Phone: 720-330-3937    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.