Alyssa L Kozacek, DO - Medicare Family Medicine in Russell Springs, KY

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Alyssa L Kozacek, DO is a medicare enrolled "Family Medicine" physician in Russell Springs, Kentucky. Her current practice location is 404 Steve Drive, Russell Springs, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 866-3161.

Alyssa L Kozacek is licensed to practice in Kentucky (license number 05796) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174100895.

Contact Information

Alyssa L Kozacek, DO
404 Steve Drive,
Russell Springs, KY 42642-4622
(270) 866-3161
(270) 866-3163

Map and Direction




Physician's Profile

Full NameAlyssa L Kozacek
GenderFemale
SpecialityFamily Medicine
Location404 Steve Drive, Russell Springs, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174100895
  • Provider Enumeration Date: 03/27/2021
  • Last Update Date: 07/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2264972207
  • Enrollment ID: I20240905002147

Medical Identifiers

Medical identifiers for Alyssa L Kozacek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174100895NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 05796 (Kentucky)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. Alyssa L Kozacek allows following entities to bill medicare on her behalf.
Entity NameLake Cumberland Regional Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861078685
PECOS PAC ID: 7214909456
Enrollment ID: O20040809001229
Entity NameCumberland Family Medical Center, Inc..
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306873500
PECOS PAC ID: 6305947789
Enrollment ID: O20120221000433

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. Alyssa L Kozacek 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
Alyssa L Kozacek, DO
Po Box 1080,
Burkesville, KY 42717-1080

Ph: (270) 858-6655		Alyssa L Kozacek, DO
404 Steve Drive,
Russell Springs, KY 42642-4622

Ph: (270) 866-3161

Reviews and Comments


Family Medicine Doctors in Russell Springs, KY

Dr. Richard Stayton Miles, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 124 Dowell Rd, Russell Springs, KY 42642
Phone: 270-866-2440    Fax: 270-866-2442
Dr. Miles Kenton Gibson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 92 Joe T Petty Dr, Suite 300, Russell Springs, KY 42642
Phone: 270-866-7066    Fax: 270-866-7068
Liesel C Grentz, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 124 Dowell Rd, Russell Springs, KY 42642
Phone: 270-866-2440    Fax: 270-866-2442
Dr. Macon Samuel Bradley, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 153 Dowell Rd, Russell Springs, KY 42642
Phone: 270-866-4141    
Leann Dalton Cooper,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 124 Dowell Rd, Russell Springs, KY 42642
Phone: 270-866-2440    Fax: 270-866-2442

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.