Jack Andrew Kotecki, MD in Robbinsdale, MN - Medicare Internal Medicine

Jack Andrew Kotecki, MD is a medicare enrolled "Internal Medicine" physician in Robbinsdale, Minnesota. His current practice location is 3300 Oakdale Ave N, Robbinsdale, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 520-5200.

Jack Andrew Kotecki is licensed to practice in Minnesota (license number 75814) 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 1689201360.

Contact Information

	Jack Andrew Kotecki, MD
	3300 Oakdale Ave N, Robbinsdale, MN 55422-2926
	(763) 520-5200
	Not Available

Map and Direction

Physician's Profile

Full Name	Jack Andrew Kotecki
Gender	Male
Speciality	Internal Medicine
Location	3300 Oakdale Ave N, Robbinsdale, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689201360
Provider Enumeration Date: 03/24/2020
Last Update Date: 10/18/2024

Medicare PECOS Information:

PECOS PAC ID: 9739502899
Enrollment ID: I20240830003342

Medical Identifiers

Medical identifiers for Jack Andrew Kotecki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689201360	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	75814 (Minnesota)	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. Jack Andrew Kotecki allows following entities to bill medicare on his behalf.

Entity Name	North Memorial Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470

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. Jack Andrew Kotecki 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
Jack Andrew Kotecki, MD 420 Delaware St Se, Minneapolis, MN 55455-0341 Ph: (612) 624-0990	Jack Andrew Kotecki, MD 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 Ph: (763) 520-5200

Reviews and Comments

Internal Medicine Doctors in Robbinsdale, MN

Dr. Alok Maheshwari, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-581-5400 Fax: 763-581-5401
Hani Al Salti Al Krad, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5200
Adam Poquette, Internal Medicine Medicare: Medicare Enrolled Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5200
Ethan Michael Fruechte, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Suite 200, Robbinsdale, MN 55422 Phone: 763-581-5400 Fax: 763-520-2099
Matthew Nolan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3366 Oakdale Ave N Ste 401, Robbinsdale, MN 55422 Phone: 763-520-2940
Jerrold Martin Stempel, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3366 Oakdale Ave N, Suite 315, Robbinsdale, MN 55422 Phone: 763-520-7900 Fax: 763-520-7989
Chike Uchenna Anthony Obi, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-581-5400 Fax: 763-581-5401

Jack Andrew Kotecki, MD - Medicare Internal Medicine in Robbinsdale, MN