Anna Stanislawa Bereziewicz, DO is a medicare enrolled "Emergency Medicine" physician in Roanoke Rapids, North Carolina. Her current practice location is
250 Smith Church Rd, Roanoke Rapids, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 537-8715.
Anna Stanislawa Bereziewicz is licensed to practice in North Carolina (license number 2021-03250) 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 1952614257.
Physician's Profile
Full Name | Anna Stanislawa Bereziewicz |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 250 Smith Church Rd, Roanoke Rapids, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952614257
- Provider Enumeration Date: 07/15/2010
- Last Update Date: 02/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 0042454035
- Enrollment ID: I20220302002466
Medical Identifiers
Medical identifiers for Anna Stanislawa Bereziewicz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952614257 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 5101018665 (Michigan) | Secondary |
207Q00000X | Family Medicine | 5101018665 (Michigan) | Secondary |
207P00000X | Emergency Medicine | 2021-03250 (North Carolina) | 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. Anna Stanislawa Bereziewicz allows following entities to bill medicare on her behalf.
Entity Name | Vidant Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
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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. Anna Stanislawa Bereziewicz 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 |
Anna Stanislawa Bereziewicz, DO 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 Ph: (252) 537-8715 | Anna Stanislawa Bereziewicz, DO 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 Ph: (252) 537-8715 |
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