Katie Kozacka, MD in Smithfield, RI - Medicare Internal Medicine

Katie Kozacka, MD is a medicare enrolled "Internal Medicine" physician in Smithfield, Rhode Island. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Brown Medicine and her current practice location is 900 Douglas Pike Fl 1, Smithfield, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 649-4050.

Katie Kozacka is licensed to practice in Rhode Island (license number MD18434) 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 1821559733.

Contact Information

	Katie Kozacka, MD
	900 Douglas Pike Fl 1, Smithfield, RI 02917-1879
	(401) 649-4050
	(401) 649-4051

Map and Direction

Physician's Profile

Full Name	Katie Kozacka
Gender	Female
Speciality	Internal Medicine
Experience	7 Years
Location	900 Douglas Pike Fl 1, Smithfield, Rhode Island
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Katie Kozacka graduated from medical school in 2019

NPI Data:

NPI Number: 1821559733
Provider Enumeration Date: 03/26/2019
Last Update Date: 03/05/2026

Medicare PECOS Information:

PECOS PAC ID: 9931433596
Enrollment ID: I20220809002455

Medical Identifiers

Medical identifiers for Katie Kozacka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821559733	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD18434 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Miriam Hospital	Providence, RI	Hospital
Rhode Island Hospital	Providence, RI	Hospital
Women & Infants Hospital Of Rhode Island	Providence, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brown Medicine	0446159776	220

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. Katie Kozacka allows following entities to bill medicare on her behalf.

Entity Name	Brown Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689626764 PECOS PAC ID: 0446159776 Enrollment ID: O20040219000354

Entity Name	Lifespan Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368

Entity Name	The Miriam Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598978744 PECOS PAC ID: 6901796408 Enrollment ID: O20170303000645

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. Katie Kozacka 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
Katie Kozacka, MD 15 La Salle Sq, Providence, RI 02903-1814 Ph: (401) 444-6779	Katie Kozacka, MD 900 Douglas Pike Fl 1, Smithfield, RI 02917-1879 Ph: (401) 649-4050

Reviews and Comments

Internal Medicine Doctors in Smithfield, RI

Lauren Michal De Leon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Sanderson Rd, Suite 201, Smithfield, RI 02917 Phone: 401-949-0300 Fax: 401-349-3387
Dr. Lauren Conner, MD, MA Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Douglas Pike, Smithfield, RI 02917 Phone: 401-649-4050 Fax: 401-649-4051
Dr. Vanessa Greenier, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Sanderson Rd, Suite 201, Smithfield, RI 02917 Phone: 401-949-0300 Fax: 401-349-3387
Nidhi B Sharma, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Sanderson Rd, Suite 201, Smithfield, RI 02917 Phone: 401-949-0300 Fax: 401-349-3387
Dr. John Gaines, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Sanderson Rd, Suite 201, Smithfield, RI 02917 Phone: 404-949-0300 Fax: 401-369-7963
Dr. Ryan Dalton Rossi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Sanderson Rd Ste 201, Smithfield, RI 02917 Phone: 401-949-0300 Fax: 401-349-3387
William Levin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Sanderson Rd, Suite 205, Smithfield, RI 02917 Phone: 401-349-0366 Fax: 401-349-4875

Katie Kozacka, MD - Medicare Internal Medicine in Smithfield, RI