Ida Kolodziejczyk, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Sisters, Oregon. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Redbird Llc and her current practice location is
352 E Hood Ave Ste D, Sisters, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 904-4427.
Ida Kolodziejczyk is licensed to practice in Oregon (license number 64740) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982317228.
Physician's Profile
| Full Name | Ida Kolodziejczyk |
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| Gender | Female |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 4 Years |
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| Location | 352 E Hood Ave Ste D, Sisters, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ida Kolodziejczyk graduated from medical school in 2022
NPI Data:
- NPI Number: 1982317228
- Provider Enumeration Date: 01/02/2023
- Last Update Date: 01/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 1850762741
- Enrollment ID: I20230201002087
Medical Identifiers
Medical identifiers for Ida Kolodziejczyk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982317228 | NPI | - | NPPES |
| 64740 | Other | OR | DPT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 64740 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Redbird Llc | 3870891278 | 18 |
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. Ida Kolodziejczyk allows following entities to bill medicare on her behalf.
| Entity Name | Redbird Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306213913
PECOS PAC ID: 3870891278
Enrollment ID: O20160419001228 |
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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. Ida Kolodziejczyk 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 |
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Ida Kolodziejczyk,
1441 Sw Chandler Ave Ste 103,
Bend, OR 97702-3208
Ph: (541) 797-3052 | Ida Kolodziejczyk,
352 E Hood Ave Ste D,
Sisters, OR 97759-1619
Ph: (541) 904-4427 |
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