Ashlen Michal Kakolewski, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Fair Lawn, New Jersey. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Valley Physician Services Pc and her current practice location is
19-21 Fair Lawn Ave # 725, Fair Lawn, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 273-4300.
Ashlen Michal Kakolewski is licensed to practice in New Jersey (license number 26NJ00777200) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972016301.
Physician's Profile
| Full Name | Ashlen Michal Kakolewski |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 19-21 Fair Lawn Ave # 725, Fair Lawn, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ashlen Michal Kakolewski graduated from medical school in 2017
NPI Data:
- NPI Number: 1972016301
- Provider Enumeration Date: 11/07/2017
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 4385903079
- Enrollment ID: I20180126000909
Medical Identifiers
Medical identifiers for Ashlen Michal Kakolewski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972016301 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 26NJ00777200 (New Jersey) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 26NJ00777200 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Valley Physician Services Pc | 3577857333 | 402 |
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. Ashlen Michal Kakolewski allows following entities to bill medicare on her behalf.
| Entity Name | Summit Medical Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011 |
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| Entity Name | Valley Physician Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467815928
PECOS PAC ID: 3577857333
Enrollment ID: O20160802002824 |
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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. Ashlen Michal Kakolewski 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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Ashlen Michal Kakolewski, FNP-C
920 W Saddle River Rd,
Ho Ho Kus, NJ 07423-1208
Ph: (703) 919-4209 | Ashlen Michal Kakolewski, FNP-C
19-21 Fair Lawn Ave # 725,
Fair Lawn, NJ 07410-2331
Ph: (908) 273-4300 |
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