Keith A Podolak, FNP-C - Medicare Nurse Practitioner in Chandler, AZ

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Keith A Podolak, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Chandler, Arizona. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Atlas Medical Aco Llc, Century Care Inc and his current practice location is 4045 W Chandler Blvd Bldg F, Chandler, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 917-3706.

Keith A Podolak is licensed to practice in Arizona (license number TEMP261770) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568138527.

Contact Information

Keith A Podolak, FNP-C
4045 W Chandler Blvd Bldg F,
Chandler, AZ 85226-3732
(480) 917-3706
(480) 353-2066

Map and Direction




Provider's Profile

Full NameKeith A Podolak
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location4045 W Chandler Blvd Bldg F, Chandler, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Keith A Podolak graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1568138527
  • Provider Enumeration Date: 08/19/2021
  • Last Update Date: 08/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9739579707
  • Enrollment ID: I20211206001953

Medical Identifiers

Medical identifiers for Keith A Podolak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568138527NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family TEMP261770 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aegis Homecare, IncMesa, AZHome health agency
Arizona Home CareTempe, AZHome health agency
Haven Home Health CareScottsdale, AZHome health agency
Aegis Hospice, Inc.Mesa, AZHospice

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Atlas Medical Aco Llc145688522750
Century Care Inc397166560551

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. Keith A Podolak allows following entities to bill medicare on his behalf.
Entity NameCentury Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346499324
PECOS PAC ID: 3971665605
Enrollment ID: O20090203000530
Entity NameAtlas Medical Aco LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396573705
PECOS PAC ID: 1456885227
Enrollment ID: O20250416003928

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. Keith A Podolak 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
Keith A Podolak, FNP-C
4045 W Chandler Blvd Bldg F,
Chandler, AZ 85226-3732

Ph: (480) 917-3706		Keith A Podolak, FNP-C
4045 W Chandler Blvd Bldg F,
Chandler, AZ 85226-3732

Ph: (480) 917-3706

Reviews and Comments


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Ms. Jennifer Ann Green, FNP-C
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Phone: 480-677-8282    Fax: 888-316-1686
Terry L Horine, ANP
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Jo Ann Owen Gott,
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Saralyn Heddleston, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 485 S Dobson Rd Ste 201, Chandler, AZ 85224
Phone: 480-728-4700    Fax: 480-728-4747
Stacie Joy Mongold, FNP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 2100 E Yeager Dr, Chandler, AZ 85286
Phone: 480-699-5536    Fax: 480-699-9283
Megan Breckon, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3960 E Riggs Rd Ste 1, Chandler, AZ 85249
Phone: 480-786-4441    Fax: 480-786-4609

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.