Dr Zachery Tyler Staskywicz, MD in Grand Forks, ND

Dr Zachery Tyler Staskywicz, MD is a medicare enrolled "Surgery" physician in Grand Forks, North Dakota. His current practice location is University Of North Dakota Smhs Department Of Surgery, 1301 North Columbia Road Stop 9037, Grand Forks, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 293-4151.

Dr Zachery Tyler Staskywicz is licensed to practice in North Dakota (license number RL15810) 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 1962054171.

Contact Information

	Dr Zachery Tyler Staskywicz, MD
	University Of North Dakota Smhs Department Of Surgery, 1301 North Columbia Road Stop 9037, Grand Forks, ND 58202
	(701) 293-4151
	(701) 293-4148

Map and Direction

Physician's Profile

Full Name	Dr Zachery Tyler Staskywicz
Gender	Male
Speciality	Surgery
Location	University Of North Dakota Smhs Department Of Surgery, Grand Forks, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962054171
Provider Enumeration Date: 07/09/2019
Last Update Date: 07/09/2019

Medicare PECOS Information:

PECOS PAC ID: 6204166317
Enrollment ID: I20241003001548

Medical Identifiers

Medical identifiers for Dr Zachery Tyler Staskywicz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962054171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	RL15810 (North Dakota)	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 Zachery Tyler Staskywicz allows following entities to bill medicare on his behalf.

Entity Name	Range Regional Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095

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 Zachery Tyler Staskywicz 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 Zachery Tyler Staskywicz, MD University Of North Dakota Smhs Department Of Surgery, 1301 North Columbia Road Stop 9037, Grand Forks, ND 58202 Ph: (701) 293-4151	Dr Zachery Tyler Staskywicz, MD University Of North Dakota Smhs Department Of Surgery, 1301 North Columbia Road Stop 9037, Grand Forks, ND 58202 Ph: (701) 293-4151

Reviews and Comments

Surgery Doctors in Grand Forks, ND

Seye Adekeye, M.D., PH.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 501 N Columbia Rd Stop 9037, Und Department Of Surgery, Grand Forks, ND 58202 Phone: 701-777-3067
Jonathan Roberts, MD Surgery Medicare: Medicare Enrolled Practice Location: 1301 N Columbia Rd Stop 9037, Suite E270, Grand Forks, ND 58202 Phone: 701-777-5945
Bradley P Belluk, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300 Fax: 701-780-1942
Dr. Kathleen Claire Gallagher, MD Surgery Medicare: Medicare Enrolled Practice Location: 1300 S. Columbia Road, Grand Forks, ND 58201 Phone: 701-780-5000
Dr. Wade Anthony Hopper, DO Surgery Medicare: Medicare Enrolled Practice Location: 1301 N Columbia Rd Stop 9037, Grand Forks, ND 58202 Phone: 701-777-3069
Nathan Sarli, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1301 N Columbia Rd, Grand Forks, ND 58202 Phone: 701-777-3069
Katherine Alice Senter, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 701-780-4477

Dr Zachery Tyler Staskywicz, MD - Medicare Surgery in Grand Forks, ND