Beata Kaczkowski, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Lindenhurst, Illinois. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Embrace Behavioral Health, Minuteclinic Diagnostic Of Illinois Pllc and her current practice location is
2020 E Grand Ave, Lindenhurst, Illinois. You can reach out to her office (for appointments etc.) via phone at
(866) 389-2727.
Beata Kaczkowski is licensed to practice in Illinois (license number 209.016308) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548787831.
Provider's Profile
| Full Name | Beata Kaczkowski |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 2020 E Grand Ave, Lindenhurst, Illinois |
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| Accepts Medicare Assignments | Yes. She 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:
- Beata Kaczkowski graduated from nursing school in 2017
NPI Data:
- NPI Number: 1548787831
- Provider Enumeration Date: 08/28/2017
- Last Update Date: 08/28/2017
Medicare PECOS Information:
- PECOS PAC ID: 4587930953
- Enrollment ID: I20171030003465
Medical Identifiers
Medical identifiers for Beata Kaczkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548787831 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209.016308 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Embrace Behavioral Health | 5698122109 | 2 |
| Minuteclinic Diagnostic Of Illinois Pllc | 8729171566 | 107 |
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. Beata Kaczkowski allows following entities to bill medicare on her behalf.
| Entity Name | Minuteclinic Diagnostic Of Illinois Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356485809
PECOS PAC ID: 8729171566
Enrollment ID: O20070910000607 |
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| Entity Name | Embrace Behavioral Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376229617
PECOS PAC ID: 5698122109
Enrollment ID: O20231106000827 |
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| Entity Name | Minuteclinic Primary Care Illinois Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528875564
PECOS PAC ID: 7416471842
Enrollment ID: O20250408000253 |
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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. Beata Kaczkowski 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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Beata Kaczkowski, NP-C
2020 E Grand Ave,
Lindenhurst, IL 60046-9069
Ph: (866) 389-2727 | Beata Kaczkowski, NP-C
2020 E Grand Ave,
Lindenhurst, IL 60046-9069
Ph: (866) 389-2727 |
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