Jaroslaw Michalik, is a medicare enrolled "Surgery" physician in Sullivan, Missouri. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Missouri Baptist Hospital Of Sullivan and his current practice location is
965 Mattox Dr, Sullivan, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 860-6000.
Jaroslaw Michalik is licensed to practice in Missouri (license number 114756) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093826950.
Physician's Profile
| Full Name | Jaroslaw Michalik |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 38 Years |
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| Location | 965 Mattox Dr, Sullivan, Missouri |
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| Accepts Medicare Assignments | Yes. He 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:
- Jaroslaw Michalik graduated from medical school in 1986
NPI Data:
- NPI Number: 1093826950
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 05/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 4284648783
- Enrollment ID: I20100714000266
Medical Identifiers
Medical identifiers for Jaroslaw Michalik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093826950 | NPI | - | NPPES |
| 203776505 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 114756 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Missouri Baptist Hospital Of Sullivan | 2668380148 | 28 |
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. Jaroslaw Michalik allows following entities to bill medicare on his behalf.
| Entity Name | Missouri Baptist Hospital Of Sullivan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295743169
PECOS PAC ID: 2668380148
Enrollment ID: O20060410000616 |
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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. Jaroslaw Michalik 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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Jaroslaw Michalik,
965 Mattox Dr,
Sullivan, MO 63080-2365
Ph: (573) 860-6000 | Jaroslaw Michalik,
965 Mattox Dr,
Sullivan, MO 63080-2365
Ph: (573) 860-6000 |
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