Dr Anthony Thomas Kaczmarek, MD is a medicare enrolled "Specialist" physician in Rolla, Missouri. He went to University Of Missouri, Columbia School Of Medicine and graduated in 1991 and has 35 years of diverse experience with area of expertise as Urology. His current practice location is
1428 East 72highway, Rolla, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 364-1014.
Dr Anthony Thomas Kaczmarek is licensed to practice in Missouri (license number 10031) 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 1306803754.
Physician's Profile
| Full Name | Dr Anthony Thomas Kaczmarek |
|---|
| Gender | Male |
|---|
| Speciality | Urology |
|---|
| Experience | 35 Years |
|---|
| Location | 1428 East 72highway, Rolla, Missouri |
|---|
| 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:
- Dr Anthony Thomas Kaczmarek attended and graduated from University Of Missouri, Columbia School Of Medicine in 1991
NPI Data:
- NPI Number: 1306803754
- Provider Enumeration Date: 04/28/2006
- Last Update Date: 03/02/2026
Medicare PECOS Information:
- PECOS PAC ID: 3779688833
- Enrollment ID: I20100810000108
Medical Identifiers
Medical identifiers for Dr Anthony Thomas Kaczmarek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306803754 | NPI | - | NPPES |
| 208305102 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 110031 (Missouri) | Secondary |
| 174400000X | Specialist | 10031 (Missouri) | Primary |
Medical Facilities Affiliation
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. Dr Anthony Thomas Kaczmarek allows following entities to bill medicare on his behalf.
| Entity Name | Central Missouri Urology Clinic Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1710940630
PECOS PAC ID: 9739284894
Enrollment ID: O20070418000158 |
|---|
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 Anthony Thomas Kaczmarek 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 Anthony Thomas Kaczmarek, MD
1050 W 10th St,
Rolla, MO 65401-2905
Ph: (573) 364-1014 | Dr Anthony Thomas Kaczmarek, MD
1428 East 72highway,
Rolla, MO 65401
Ph: (573) 364-1014 |
Reviews and Comments