Dr Michelle Grace Puzdrakiewicz, MD is a medicare enrolled "Pediatrics" physician in Dyersburg, Tennessee. Her current practice location is
1700 Woodlawn Ave, Dyersburg, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 287-4500.
Dr Michelle Grace Puzdrakiewicz is licensed to practice in Louisiana (license number 308800) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376526392.
Physician's Profile
| Full Name | Dr Michelle Grace Puzdrakiewicz |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 1700 Woodlawn Ave, Dyersburg, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376526392
- Provider Enumeration Date: 11/23/2005
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 8527159011
- Enrollment ID: I20180724002568
Medical Identifiers
Medical identifiers for Dr Michelle Grace Puzdrakiewicz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376526392 | NPI | - | NPPES |
| 1510509 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 308800 (Louisiana) | Primary |
| 208000000X | Pediatrics | 42447 (Tennessee) | 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 Michelle Grace Puzdrakiewicz allows following entities to bill medicare on her behalf.
| Entity Name | Ochsner Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538151428
PECOS PAC ID: 8224933619
Enrollment ID: O20031126000513 |
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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. Dr Michelle Grace Puzdrakiewicz 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 Michelle Grace Puzdrakiewicz, MD
1804 Highway 45 Byp Ste 604,
Jackson, TN 38305-4403
Ph: (731) 660-7971 | Dr Michelle Grace Puzdrakiewicz, MD
1700 Woodlawn Ave,
Dyersburg, TN 38024-2028
Ph: (731) 287-4500 |
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