Nicholas Allen Wilczynski, DO - Medicare Emergency Medicine in Rock Island, IL

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Nicholas Allen Wilczynski, DO is a medicare enrolled "Emergency Medicine" physician in Rock Island, Illinois. His current practice location is 2701 17th St, Rock Island, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 779-5000.

Nicholas Allen Wilczynski is licensed to practice in Illinois (license number 036.145893) 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 1124405972.

Contact Information

Nicholas Allen Wilczynski, DO
2701 17th St,
Rock Island, IL 61201-5351
(309) 779-5000
Not Available

Map and Direction




Physician's Profile

Full NameNicholas Allen Wilczynski
GenderMale
SpecialityEmergency Medicine
Location2701 17th St, Rock Island, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124405972
  • Provider Enumeration Date: 04/30/2015
  • Last Update Date: 06/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6406144997
  • Enrollment ID: I20180910002750

Medical Identifiers

Medical identifiers for Nicholas Allen Wilczynski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124405972NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine DO-05336 (Iowa)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207P00000XEmergency Medicine 036.145893 (Illinois)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. Nicholas Allen Wilczynski allows following entities to bill medicare on his behalf.
Entity NameTrinity Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568414134
PECOS PAC ID: 2264337518
Enrollment ID: O20031203000016
Entity NameHammond Henry Dist Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457344491
PECOS PAC ID: 0143115949
Enrollment ID: O20071211000175
Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147

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. Nicholas Allen Wilczynski 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 AddressPractice Location Address
Nicholas Allen Wilczynski, DO
3716 38th Street Ct,
Moline, IL 61265-5400

Ph: () -		Nicholas Allen Wilczynski, DO
2701 17th St,
Rock Island, IL 61201-5351

Ph: (309) 779-5000

Reviews and Comments


Emergency Medicine Doctors in Rock Island, IL

Deepta Shankar Atre Strand, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2701 17th St, Rock Island, IL 61201
Phone: 309-779-5000    
Dr. Lester Kelty, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2701 17th St, Rock Island, IL 61201
Phone: 309-779-5000    
Dr. Kevin Kurth, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2701 17th St, Rock Island, IL 61201
Phone: 309-779-5000    
Dr. Jack Buzek, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2701 17th St, Rock Island, IL 61201
Phone: 309-779-5000    
Dr. David Hartsuch, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2701 17th St, Rock Island, IL 61201
Phone: 309-779-5000    
Dr. Stephanie Burrows, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2701 17th St, Rock Island, IL 61201
Phone: 309-779-5000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.