Kaelyn Tkacik, PA-C - Medicare Physician Assistant in Maricopa, AZ

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Kaelyn Tkacik, PA-C is a medicare enrolled "Physician Assistant" in Maricopa, Arizona. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Enticare Pc and her current practice location is 44870 W Hathaway Ave Ste 6, Maricopa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 214-9000.

Kaelyn Tkacik is licensed to practice in Arizona (license number 8695) 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 1659966166.

Contact Information

Kaelyn Tkacik, PA-C
44870 W Hathaway Ave Ste 6,
Maricopa, AZ 85139-9600
(480) 214-9000
(480) 214-9999

Map and Direction




Provider's Profile

Full NameKaelyn Tkacik
GenderFemale
SpecialityPhysician Assistant
Experience5 Years
Location44870 W Hathaway Ave Ste 6, Maricopa, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kaelyn Tkacik graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1659966166
  • Provider Enumeration Date: 03/05/2021
  • Last Update Date: 09/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8921498403
  • Enrollment ID: I20211124002339

Medical Identifiers

Medical identifiers for Kaelyn Tkacik such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659966166NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 8695 (Arizona)Primary
363A00000XPhysician Assistant (Arizona)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Enticare Pc226453277919

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. Kaelyn Tkacik allows following entities to bill medicare on her behalf.
Entity NameArizona Center for Hematology and Oncology PLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841243722
PECOS PAC ID: 8123007747
Enrollment ID: O20040716001063
Entity NameEnticare PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710014410
PECOS PAC ID: 2264532779
Enrollment ID: O20070713000056
Entity NameHonorhealth Ambulatory
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407050917
PECOS PAC ID: 5991603110
Enrollment ID: O20071005000449

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. Kaelyn Tkacik 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
Kaelyn Tkacik, PA-C
44870 W Hathaway Ave Ste 6,
Maricopa, AZ 85139-9600

Ph: (480) 214-9000		Kaelyn Tkacik, PA-C
44870 W Hathaway Ave Ste 6,
Maricopa, AZ 85139-9600

Ph: (480) 214-9000

Reviews and Comments


Physician Assistant Nurses in Maricopa, AZ

Robert G Mitchelson, P A
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Jacob Fisher, PA-C
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Natalia Richmond, PA-C
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Jason D Redd, PA-C
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Phone: 623-253-9550    
Ms. Rupinder K Dhillon, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 20236 N. John Wayne Pkwy, Ste 100, Maricopa, AZ 85139
Phone: 520-518-7510    Fax: 520-518-7512

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.