Adam Jeremiah Kuzmiak, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Anthem, Arizona. His current practice location is
3724 W Ashton Ct, Anthem, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 249-4207.
Adam Jeremiah Kuzmiak is licensed to practice in Arizona (license number CRNA0794) 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 1992088298.
Provider's Profile
| Full Name | Adam Jeremiah Kuzmiak |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 3724 W Ashton Ct, Anthem, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992088298
- Provider Enumeration Date: 09/22/2011
- Last Update Date: 11/21/2018
Medicare PECOS Information:
- PECOS PAC ID: 4981879905
- Enrollment ID: I20111202000260
Medical Identifiers
Medical identifiers for Adam Jeremiah Kuzmiak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992088298 | NPI | - | NPPES |
| Z148617 | Other | AZ | MEDICARE PTAN |
| 664809 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN127736 (Arizona) | Secondary |
| 207L00000X | Anesthesiology | CRNA0794 (Arizona) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA0794 (Arizona) | 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. Adam Jeremiah Kuzmiak allows following entities to bill medicare on his behalf.
| Entity Name | Dec Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093006520
PECOS PAC ID: 9335319086
Enrollment ID: O20110907001087 |
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| Entity Name | Greater Anesthesia Solutions |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124430244
PECOS PAC ID: 9234357906
Enrollment ID: O20140822000525 |
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| Entity Name | Summit Anesthesia Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821589144
PECOS PAC ID: 3971850892
Enrollment ID: O20180724002694 |
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| Entity Name | Summit Anesthesia Pain Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598222812
PECOS PAC ID: 0547500563
Enrollment ID: O20190328001717 |
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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. Adam Jeremiah Kuzmiak 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 |
|---|
Adam Jeremiah Kuzmiak, CRNA
3724 W Ashton Ct,
Anthem, AZ 85086-2761
Ph: (623) 249-4207 | Adam Jeremiah Kuzmiak, CRNA
3724 W Ashton Ct,
Anthem, AZ 85086-2761
Ph: (623) 249-4207 |
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