Dr Tomasz Kozlowski, MD is a medicare enrolled "Transplant Surgery" physician in Daytona Beach, Florida. His current practice location is
311 N Clyde Morris Blvd Ste 360, Daytona Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 425-4650.
Dr Tomasz Kozlowski is licensed to practice in Florida (license number ME139131) 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 1114974664.
Physician's Profile
| Full Name | Dr Tomasz Kozlowski |
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| Gender | Male |
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| Speciality | Transplant Surgery |
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| Location | 311 N Clyde Morris Blvd Ste 360, Daytona Beach, Florida |
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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: 1114974664
- Provider Enumeration Date: 05/30/2006
- Last Update Date: 04/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 3375575160
- Enrollment ID: I20180910001429
Medical Identifiers
Medical identifiers for Dr Tomasz Kozlowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114974664 | NPI | - | NPPES |
| 403029000 | Medicaid | MD | |
| 5901586 | Other | NC | MPN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | ME139131 (Florida) | Secondary |
| 204F00000X | Transplant Surgery | ME139131 (Florida) | 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 Tomasz Kozlowski allows following entities to bill medicare on his behalf.
| Entity Name | Utmb Faculty Group Practice |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942241146
PECOS PAC ID: 3375456734
Enrollment ID: O20031112000438 |
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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 Tomasz Kozlowski 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 Tomasz Kozlowski, MD
303 N Clyde Morris Blvd,
Daytona Beach, FL 32114-2709
Ph: (386) 425-0141 | Dr Tomasz Kozlowski, MD
311 N Clyde Morris Blvd Ste 360,
Daytona Beach, FL 32114-2757
Ph: (386) 425-4650 |
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