Dr Michael Blaise Przydzielski Sr, MD - Medicare Psychiatry & Neurology in Hartford, VT

  1. Home
  2. Psychiatry & Neurology
  3. VT
  4. Hartford
Dr Michael Blaise Przydzielski Sr, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Hartford, Vermont. His current practice location is 49 School St., Hcrs, Hartford, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 295-3031.

Dr Michael Blaise Przydzielski Sr is licensed to practice in Vermont (license number 042.0012022) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124249735.

Contact Information

Dr Michael Blaise Przydzielski Sr, MD
49 School St., Hcrs,
Hartford, VT 05047-0709
(802) 295-3031
Not Available

Map and Direction




Physician's Profile

Full NameDr Michael Blaise Przydzielski Sr
GenderMale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location49 School St., Hartford, Vermont
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124249735
  • Provider Enumeration Date: 05/01/2007
  • Last Update Date: 07/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0244355782
  • Enrollment ID: I20130409000178

Medical Identifiers

Medical identifiers for Dr Michael Blaise Przydzielski Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124249735NPI-NPPES
3088049MedicaidVT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 042.0012022 (Vermont)Primary
2084P0800XPsychiatry & Neurology - Psychiatry 042.0012022 (Vermont)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 15847 (New Hampshire)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 15847 (New Hampshire)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 0420012022 (Vermont)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 0420012022 (Vermont)Secondary

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 Michael Blaise Przydzielski Sr allows following entities to bill medicare on his behalf.
Entity NameWest Central Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174635684
PECOS PAC ID: 0840263232
Enrollment ID: O20040813001200
Entity NameCrotched Mountain Rehabilitation Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891721262
PECOS PAC ID: 5597731059
Enrollment ID: O20040907000356
Entity NameState Of New Hampshire
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861491334
PECOS PAC ID: 3870530579
Enrollment ID: O20050414000166

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 Michael Blaise Przydzielski Sr 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 AddressPractice Location Address
Dr Michael Blaise Przydzielski Sr, MD
390 River St, Hcrs,
Springfield, VT 05156-2226

Ph: (802) 886-4500		Dr Michael Blaise Przydzielski Sr, MD
49 School St., Hcrs,
Hartford, VT 05047-0709

Ph: (802) 295-3031

Reviews and Comments


Psychiatry & Neurology Doctors in Hartford, VT

Dr. Kulsoom A Khan, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 49 School Street, Hartford, VT 05047
Phone: 802-295-3031    Fax: 802-295-0820
Patricia A Daly, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 49 School St., Hcrs, Hartford, VT 05047
Phone: 802-295-3031    Fax: 802-886-4520
Dr. Kathleen M Allden, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 49 School Street, Hartford, VT 05047
Phone: 802-295-3031    Fax: 802-295-0820

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.