Peter Joseph Pollachek, APN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Watseka, Illinois. He graduated from nursing school in 1989 and has 35 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Vigilance Anesthesiologists And Pain Specialists Pc, Vigilance Anesthesiologists And Pain Specialists Pc and his current practice location is
200 East Fairman Ave, Second Floor - Specialty Clinic, Watseka, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 522-9793.
Peter Joseph Pollachek is licensed to practice in Illinois (license number 209-000987) 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 1912902040.
Provider's Profile
| Full Name | Peter Joseph Pollachek |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 35 Years |
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| Location | 200 East Fairman Ave, Watseka, Illinois |
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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:
- Peter Joseph Pollachek graduated from nursing school in 1989
NPI Data:
- NPI Number: 1912902040
- Provider Enumeration Date: 06/16/2005
- Last Update Date: 12/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 7416946157
- Enrollment ID: I20040508000246
Medical Identifiers
Medical identifiers for Peter Joseph Pollachek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912902040 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 209-000987 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Vigilance Anesthesiologists And Pain Specialists Pc | 4284975541 | 4 |
| Vigilance Anesthesiologists And Pain Specialists Pc | 4284975541 | 4 |
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. Peter Joseph Pollachek allows following entities to bill medicare on his behalf.
| Entity Name | Stat Anesthesia Specialists Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992754089
PECOS PAC ID: 8123031473
Enrollment ID: O20060824000282 |
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| Entity Name | Vigilance Anesthesiologists & Pain Specialists Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013475375
PECOS PAC ID: 4284975541
Enrollment ID: O20190415000971 |
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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. Peter Joseph Pollachek 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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Peter Joseph Pollachek, APN
2225 Great Lakes Dr, Unit 604,
Dyer, IN 46311
Ph: (708) 522-9793 | Peter Joseph Pollachek, APN
200 East Fairman Ave, Second Floor - Specialty Clinic,
Watseka, IL 60970
Ph: (708) 522-9793 |
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