| Dr Jacek Janusz Paszkowiak, MD | |
|
3713 Benson Dr, Raleigh, NC 27609 | |
| (919) 235-3400 | |
| (919) 235-3401 |
| Full Name | Dr Jacek Janusz Paszkowiak |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 29 Years |
| Location | 3713 Benson Dr, Raleigh, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760411656 | NPI | - | NPPES |
| 0101240963 | Other | VA | MEDICAL LICENCE |
| 2018-02023 | Other | NC | MEDICAL LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 0101240963 (Virginia) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 2018-02023 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wakemed, Cary Hospital | Cary, NC | Hospital |
| Wakemed, Raleigh Campus | Raleigh, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wakemed Specialists Group Llc | 2466788377 | 774 |
| Entity Name | Wakemed Specialists Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588227839 PECOS PAC ID: 2466788377 Enrollment ID: O20190731000815 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacek Janusz Paszkowiak, MD 2920 Highwoods Blvd, Raleigh, NC 27604-0010 Ph: (877) 498-4490 | Dr Jacek Janusz Paszkowiak, MD 3713 Benson Dr, Raleigh, NC 27609 Ph: (919) 235-3400 |
Dr. Basil Michael Yurcisin Ii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4207 Lake Boone Trl Ste 210, Raleigh, NC 27607 Phone: 919-784-4200 Fax: 919-784-2708 | |
Dr. Bo Zhang, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7331 | |
Dr. Luan Tran, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2245 Gateway Access Pt, Suite 315, Raleigh, NC 27607 Phone: 919-510-8900 Fax: 919-510-8977 | |
Michael Raymond Hall, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4414 Lake Boone Trl Ste 505, Raleigh, NC 27607 Phone: 919-784-2300 | |
Dr. James E Fogartie Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7600 | |
Dr. Liliana Nanez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4414 Lake Boone Trl Ste 505, Raleigh, NC 27607 Phone: 919-784-2300 Fax: 919-784-2301 | |
Brenna Kate Houlihan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3024 New Bern Ave Ste 102, Raleigh, NC 27610 Phone: 919-350-7331 |