Dr Thomas George Gazdecki, DO is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Trenton, Michigan. His current practice location is
5400 Fort St Ste 200, Trenton, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 676-4996.
Dr Thomas George Gazdecki is licensed to practice in Michigan (license number 5101008577) 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 1023038023.
Physician's Profile
| Full Name | Dr Thomas George Gazdecki |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 5400 Fort St Ste 200, Trenton, Michigan |
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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: 1023038023
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 03/21/2018
Medicare PECOS Information:
- PECOS PAC ID: 2668369604
- Enrollment ID: I20040303000771
Medical Identifiers
Medical identifiers for Dr Thomas George Gazdecki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023038023 | NPI | - | NPPES |
| 323068611 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086S0129X | Surgery - Vascular Surgery | 5101008577 (Michigan) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 5101008577 (Michigan) | Primary |
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 Thomas George Gazdecki allows following entities to bill medicare on his behalf.
| Entity Name | Lakeshore Surgical Consultants, Plc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912322009
PECOS PAC ID: 3971726902
Enrollment ID: O20140521000210 |
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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 Thomas George Gazdecki 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 Thomas George Gazdecki, DO
5400 Fort St Ste 200,
Trenton, MI 48183-4636
Ph: (734) 676-4996 | Dr Thomas George Gazdecki, DO
5400 Fort St Ste 200,
Trenton, MI 48183-4636
Ph: (734) 676-4996 |
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