Stephen Kolakowski Jr, MD - Medicare Surgery in Victorville, CA

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Stephen Kolakowski Jr, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Victorville, California. His current practice location is 13010 Hesperia Rd Ste 400, Victorville, California. You can reach out to his office (for appointments etc.) via phone at (760) 242-9355.

Stephen Kolakowski Jr is licensed to practice in California (license number C146610) 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 1003971102.

Contact Information

Stephen Kolakowski Jr, MD
13010 Hesperia Rd Ste 400,
Victorville, CA 92395-8315
(760) 242-9355
Not Available

Map and Direction




Physician's Profile

Full NameStephen Kolakowski Jr
GenderMale
SpecialitySurgery - Vascular Surgery
Location13010 Hesperia Rd Ste 400, Victorville, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003971102
  • Provider Enumeration Date: 12/27/2006
  • Last Update Date: 11/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9133229461
  • Enrollment ID: I20170511001340

Medical Identifiers

Medical identifiers for Stephen Kolakowski Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003971102NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery C146610 (California)Primary
208600000XSurgery 25MA08206100 (New Jersey)Secondary

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. Stephen Kolakowski Jr allows following entities to bill medicare on his behalf.
Entity NameDesert Valley Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639117864
PECOS PAC ID: 4880595875
Enrollment ID: O20040113000803
Entity NameCounty Of San Joaquin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801830583
PECOS PAC ID: 6002703436
Enrollment ID: O20040301001287
Entity NameSan Joaquin Faculty Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225063761
PECOS PAC ID: 4082631395
Enrollment ID: O20051026000742
Entity NameChoice Healthcare Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194964361
PECOS PAC ID: 3678759206
Enrollment ID: O20110517000271
Entity NameUsa Vascular Centers Of Los Angeles Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679951362
PECOS PAC ID: 0345558128
Enrollment ID: O20151001000391
Entity NameDesert Vascular Center A Professional Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073224085
PECOS PAC ID: 8628442712
Enrollment ID: O20230311000382

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. Stephen Kolakowski Jr 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
Stephen Kolakowski Jr, MD
19111 Town Center Dr,
Apple Valley, CA 92308-8989

Ph: (760) 242-7777		Stephen Kolakowski Jr, MD
13010 Hesperia Rd Ste 400,
Victorville, CA 92395-8315

Ph: (760) 242-9355

Reviews and Comments


Surgery Doctors in Victorville, CA

Dr. Mitesh Patel, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 13010 Hesperia Rd Ste 400, Victorville, CA 92395
Phone: 760-242-9355    
Omar Zahoor Tahir, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 15095 Amargosa Rd, Victorville, CA 92394
Phone: 760-596-3363    Fax: 760-596-3366
Julius A Cruz, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 15203 11th St, Ste C, Victorville, CA 92395
Phone: 760-245-9714    Fax: 760-245-2539
Dr. Jason Todd Chiriano, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 15030 7th St, Victorville, CA 92395
Phone: 609-510-0657    Fax: 760-951-5382
Dr. Franklin Allen Rutledge Ii, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 12637 Hesperia Rd, Ste B, Victorville, CA 92395
Phone: 760-646-8540    Fax: 887-304-0588
Mr. Phong Thanh Dargon, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 15030 7th St, Victorville, CA 92395
Phone: 760-951-0065    Fax: 760-951-5382

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.