Dr Tom Klaczak, DMD in Peoria, IL - Medicare Dentist Provider

Dr Tom Klaczak, DMD is a medicare enrolled "Dentist" provider in Peoria, Illinois. He graduated from medical school in 2024 and has 2 years of diverse experience with area of expertise as Dentist. His current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 655-2000.

Dr Tom Klaczak is licensed to practice in Illinois (license number 019035275) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1770328221.

Contact Information

	Dr Tom Klaczak, DMD
	530 Ne Glen Oak Ave, Peoria, IL 61637-0001
	(309) 655-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tom Klaczak
Gender	Male
Speciality	Dentist
Experience	2 Years
Location	530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Tom Klaczak graduated from medical school in 2024

NPI Data:

NPI Number: 1770328221
Provider Enumeration Date: 06/26/2024
Last Update Date: 06/26/2024

Medicare PECOS Information:

PECOS PAC ID: 4789199977
Enrollment ID: I20250716001505

Medical Identifiers

Medical identifiers for Dr Tom Klaczak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770328221	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	019035275 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Medical Center	Peoria, IL	Hospital

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 Tom Klaczak 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
Dr Tom Klaczak, DMD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: () -	Dr Tom Klaczak, DMD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-2000

Reviews and Comments

Dentist in Peoria, IL

Megan Boyd, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1424 W Glen Ave Ste A, Peoria, IL 61614 Phone: 309-691-8033
Andrew Lord Basnet, Dentist Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-3923
Dr. Kathy Arkwell, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2425 W Cornerstone Ct, Peoria, IL 61614 Phone: 309-692-3000 Fax: 309-692-4477
Dr. Asia Smith-vernon, RDH Dentist Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7171
Michael Momchev, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6712 N Mountello Dr, Peoria, IL 61614 Phone: 309-691-7855
Dr. James R. Frost, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2001 W Willow Knolls Dr, Suite #204, Peoria, IL 61614 Phone: 309-692-8118 Fax: 309-692-6655
Dr. Lori Anne Pollard Rice, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 838 W Glen Ave, Peoria, IL 61614 Phone: 309-691-1990 Fax: 309-691-9112

Dr Tom Klaczak, DMD - Medicare Dentist in Peoria, IL