Mr Timothy James Krakowski, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Voorhees, New Jersey. His current practice location is
221 Laurel Rd Ste 1052, Voorhees, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 354-0664.
Mr Timothy James Krakowski is licensed to practice in Delaware (license number Q1-0000759) 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 1962788307.
Healthcare Provider's Profile
| Full Name | Mr Timothy James Krakowski |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 221 Laurel Rd Ste 1052, Voorhees, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962788307
- Provider Enumeration Date: 10/31/2011
- Last Update Date: 08/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 2860657640
- Enrollment ID: I20130529000071
Medical Identifiers
Medical identifiers for Mr Timothy James Krakowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962788307 | NPI | - | NPPES |
| 241691CWE | Other | NJ | MEDICARE PTAN |
| 279698ZDVL | Other | DE | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 44SC05252400 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | Q1-0000759 (Delaware) | 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. Mr Timothy James Krakowski allows following entities to bill medicare on his behalf.
| Entity Name | Jewish Family Services Of Delaware |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457362303
PECOS PAC ID: 4082643739
Enrollment ID: O20050819000163 |
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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. Mr Timothy James Krakowski 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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Mr Timothy James Krakowski, LCSW
221 Laurel Rd Ste 105,
Voorhees, NJ 08043-8301
Ph: (856) 354-0664 | Mr Timothy James Krakowski, LCSW
221 Laurel Rd Ste 1052,
Voorhees, NJ 08043
Ph: (856) 354-0664 |
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