Waldemar Szczupak, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Bradford, Pennsylvania. His current practice location is
116 Interstate Pkwy, Bradford, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(814) 368-3123.
Waldemar Szczupak is licensed to practice in Pennsylvania (license number MD036989E) 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 1962459701.
Physician's Profile
Full Name | Waldemar Szczupak |
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Gender | Male |
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Speciality | Emergency Medicine - Emergency Medical Services |
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Location | 116 Interstate Pkwy, Bradford, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962459701
- Provider Enumeration Date: 05/27/2006
- Last Update Date: 04/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 8729977939
- Enrollment ID: I20040315000763
Medical Identifiers
Medical identifiers for Waldemar Szczupak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962459701 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | MD036989E (Pennsylvania) | 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. Waldemar Szczupak allows following entities to bill medicare on his behalf.
Entity Name | Charles Cole Memorial Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1326161662 PECOS PAC ID: 3779487475 Enrollment ID: O20070504000079 |
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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. Waldemar Szczupak 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 |
Waldemar Szczupak, MD Po Box 159, Bradford, PA 16701-0159 Ph: (814) 368-3123 | Waldemar Szczupak, MD 116 Interstate Pkwy, Bradford, PA 16701-1036 Ph: (814) 368-3123 |
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