Mark Walter Kaczor, MD in Rochester, MN

Mark Walter Kaczor, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Rochester, Minnesota. His current practice location is 200 1st St Sw, Rochester, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 284-0702.

Mark Walter Kaczor is licensed to practice in Minnesota (license number 67759) 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 1497319065.

Contact Information

	Mark Walter Kaczor, MD
	200 1st St Sw, Rochester, MN 55905-0001
	(507) 284-0702
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark Walter Kaczor
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	200 1st St Sw, Rochester, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497319065
Provider Enumeration Date: 04/29/2019
Last Update Date: 08/11/2025

Medicare PECOS Information:

PECOS PAC ID: 1759616006
Enrollment ID: I20200803001868

Medical Identifiers

Medical identifiers for Mark Walter Kaczor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497319065	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	30258 (Minnesota)	Secondary
208000000X	Pediatrics	13525-320 (Wisconsin)	Secondary
208000000X	Pediatrics	67759 (Minnesota)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	67759 (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. Mark Walter Kaczor allows following entities to bill medicare on his behalf.

Entity Name	Mayo Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285

Entity Name	Mayo Clinic Health System-southeast Minnesota Region
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408

Entity Name	Mayo Clinic Health System-southwest Minnesota Region
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134

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. Mark Walter Kaczor 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
Mark Walter Kaczor, MD Po Box 860912, Minneapolis, MN 55486-0912 Ph: (507) 284-2511	Mark Walter Kaczor, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-0702

Reviews and Comments

Pediatrics Doctors in Rochester, MN

Alejandra Catalina Vasquez Avila, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Patricia S Simmons, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Mrs. Asmaa Ferdjallah, MD, MPH Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Dr. Mats Steffi Jennifer Masilamani, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Valeria Cristiani, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Flora Robinson Howie, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Meghan R Cain, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511

Mark Walter Kaczor, MD - Medicare Pediatrics in Rochester, MN