Mr Leszek A Kolodziejczak, MD in Willimantic, CT

Mr Leszek A Kolodziejczak, MD is a medicare enrolled "Surgery" physician in Willimantic, Connecticut. His current practice location is 162 Mansfield Ave., B, Willimantic, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 423-5000.

Mr Leszek A Kolodziejczak is licensed to practice in Connecticut (license number 032557) 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 1689600561.

Contact Information

	Mr Leszek A Kolodziejczak, MD
	162 Mansfield Ave., B, Willimantic, CT 06226
	(860) 423-5000
	(860) 423-4838

Map and Direction

Physician's Profile

Full Name	Mr Leszek A Kolodziejczak
Gender	Male
Speciality	Surgery
Location	162 Mansfield Ave., Willimantic, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689600561
Provider Enumeration Date: 06/23/2006
Last Update Date: 09/03/2019

Medicare PECOS Information:

PECOS PAC ID: 8729271523
Enrollment ID: I20101026000100

Medical Identifiers

Medical identifiers for Mr Leszek A Kolodziejczak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689600561	NPI	-	NPPES
010032557CT01	Other	CT	ANTHEM BC / BS
030946	Other	CT	HEALTHNET
001325572	Medicaid	CT
001325572	Other	CT	BLUE CARE FAMILY PLAN
0811232	Other	CT	AETNA / US HEALTHCARE
9079072002	Other	CT	CIGNA
P469467	Other	CT	OXFORD
P04569	Other	CT	CHN
767225	Other	CT	CONNECTICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	032557 (Connecticut)	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. Mr Leszek A Kolodziejczak allows following entities to bill medicare on his behalf.

Entity Name	Hartford Healthcare Medical Group Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441

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. Mr Leszek A Kolodziejczak 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
Mr Leszek A Kolodziejczak, MD 5 Founders St, Ste 102, Willimantic, CT 06226-2050 Ph: (860) 423-5000	Mr Leszek A Kolodziejczak, MD 162 Mansfield Ave., B, Willimantic, CT 06226 Ph: (860) 423-5000

Reviews and Comments

Surgery Doctors in Willimantic, CT

Regina K Stuart, MD Surgery Medicare: Medicare Enrolled Practice Location: 5 Founders St Ste 102, Willimantic, CT 06226 Phone: 609-456-2898 Fax: 609-456-3078
Huseyin Nail Aydin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5 Founders St Ste 102, Willimantic, CT 06226 Phone: 203-907-7227
Francis Siracusa, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 90 Quarry St, Willimantic, CT 06226 Phone: 860-450-7222

Mr Leszek A Kolodziejczak, MD - Medicare Surgery in Willimantic, CT