| Dr Matthew Nicholas Kozicki, MD | |
|
Route 940 And 115, Blakeslee, PA 18610 | |
| (570) 646-8745 | |
| Not Available |
| Full Name | Dr Matthew Nicholas Kozicki |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | Route 940 And 115, Blakeslee, Pennsylvania |
| 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 |
|---|---|---|---|
| 1124330410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD449228 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Commonwealth Home Health & Hospice Of Wilkes-barre | Forty fort, PA | Home health agency |
| Wilkes-barre General Hospital | Wilkes-barre, PA | Hospital |
| Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
| Geisinger Medical Center | Danville, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Commonwealth Physician Network Llc | 2668696592 | 62 |
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 1824 |
| Entity Name | Commonwealth Physician Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003238635 PECOS PAC ID: 2668696592 Enrollment ID: O20140617000549 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Nicholas Kozicki, MD Po Box 40, Blakeslee, PA 18610-0040 Ph: (570) 646-8745 | Dr Matthew Nicholas Kozicki, MD Route 940 And 115, Blakeslee, PA 18610 Ph: (570) 646-8745 |
Dr. David A Testa, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5683 Route 115, Blakeslee, PA 18610 Phone: 570-355-7100 Fax: 570-420-2579 | |
Cindy Mariela Inga, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5683 Route 115, Blakeslee, PA 18610 Phone: 570-355-7100 Fax: 570-422-8076 | |
Joshua Shawn Clark, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5683 Route 115, Blakeslee, PA 18610 Phone: 570-355-7100 | |
Edward Stachowiak, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Routes 940 & 115, Blakeslee, PA 18610 Phone: 570-646-8745 Fax: 570-646-8962 |