Adam R Wozniak, DO is a medicare enrolled "Family Medicine" physician in Hollister, Missouri. He went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 2003 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mercy Clinic Springfield Communities and his current practice location is
290 Clift Ct, Hollister, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 336-4355.
Adam R Wozniak is licensed to practice in Missouri (license number 2005014705) 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 1730146507.
Physician's Profile
| Full Name | Adam R Wozniak |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 23 Years |
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| Location | 290 Clift Ct, Hollister, Missouri |
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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. |
Medical Education and Training:
- Adam R Wozniak attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 2003
NPI Data:
- NPI Number: 1730146507
- Provider Enumeration Date: 04/27/2006
- Last Update Date: 02/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 6608881552
- Enrollment ID: I20060214000082
Medical Identifiers
Medical identifiers for Adam R Wozniak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730146507 | NPI | - | NPPES |
| 5N643 | Other | AR | BCBS |
| 5N643 | Other | | AR BCBS |
| 163841003 | Medicaid | AR | |
| 1730146507 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 2005014705 (Missouri) | Primary |
| 207Q00000X | Family Medicine | E4814 (Arkansas) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mercy Clinic Springfield Communities | 7416865845 | 989 |
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. Adam R Wozniak allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Clinic Springfield Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
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| Entity Name | Mercy Clinic Springfield Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
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| Entity Name | Mercy Hospital Springfield |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043242159 PECOS PAC ID: 7416867593 Enrollment ID: O20050118000038 |
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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. Adam R Wozniak 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 |
Adam R Wozniak, DO Po Box 505164, Saint Louis, MO 63150-5164 Ph: (417) 829-4620 | Adam R Wozniak, DO 290 Clift Ct, Hollister, MO 65672-5947 Ph: (417) 336-4355 |
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