Peter Niemczyk, MD is a medicare enrolled "Urology" physician in Show Low, Arizona. He graduated from medical school in 1987 and has 38 years of diverse experience with area of expertise as Urology. He is a member of the group practice Sierra Vista Regional Health Center Medical Group Llc and his current practice location is
5171 Cub Lake Rd, Bldg C Ste 340, Show Low, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 537-0111.
Peter Niemczyk is licensed to practice in Arizona (license number 34718) 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 1518953041.
Physician's Profile
| Full Name | Peter Niemczyk |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 38 Years |
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| Location | 5171 Cub Lake Rd, Show Low, Arizona |
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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:
- Peter Niemczyk graduated from medical school in 1987
NPI Data:
- NPI Number: 1518953041
- Provider Enumeration Date: 09/20/2005
- Last Update Date: 05/21/2010
Medicare PECOS Information:
- PECOS PAC ID: 7719876457
- Enrollment ID: I20060109000432
Medical Identifiers
Medical identifiers for Peter Niemczyk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518953041 | NPI | - | NPPES |
| 2Z2716 | Other | AZ | HEALTHNET |
| 477100 | Medicaid | AZ | |
| 5135633 | Other | | AETNA |
| 674661 | Other | | CIGNA |
| P00378324 | Other | | RAILROAD MEDICARE |
| AZ0156450 | Other | AZ | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 34718 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sierra Vista Regional Health Center Medical Group Llc | 3779732854 | 38 |
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. Peter Niemczyk allows following entities to bill medicare on his behalf.
| Entity Name | Sierra Vista Regional Health Center Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043575483
PECOS PAC ID: 3779732854
Enrollment ID: O20121004000679 |
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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. Peter Niemczyk 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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Peter Niemczyk, MD
20325 N 51st Ave, #102,
Glendale, AZ 85308-5674
Ph: (623) 780-2300 | Peter Niemczyk, MD
5171 Cub Lake Rd, Bldg C Ste 340,
Show Low, AZ 85901-7888
Ph: (928) 537-0111 |
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