Kenneth A Krzyzkowski, NP in Southaven, MS - Medicare Nurse Practitioner

Kenneth A Krzyzkowski, NP is a medicare enrolled "Nurse Practitioner - Family" in Southaven, Mississippi. He graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Greenbrook Physician Services, Llc and his current practice location is 7601 Southcrest Pkwy, Southaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 772-2980.

Kenneth A Krzyzkowski is licensed to practice in Mississippi (license number 902566) 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 1871083386.

Contact Information

	Kenneth A Krzyzkowski, NP
	7601 Southcrest Pkwy, Southaven, MS 38671-4739
	(662) 772-2980
	(662) 772-2960

Map and Direction

Provider's Profile

Full Name	Kenneth A Krzyzkowski
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	7601 Southcrest Pkwy, Southaven, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kenneth A Krzyzkowski graduated from nursing school in 2017

NPI Data:

NPI Number: 1871083386
Provider Enumeration Date: 05/10/2018
Last Update Date: 11/20/2019

Medicare PECOS Information:

PECOS PAC ID: 8325393622
Enrollment ID: I20180608001042

Medical Identifiers

Medical identifiers for Kenneth A Krzyzkowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871083386	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	902566 (Mississippi)	Secondary
363LF0000X	Nurse Practitioner - Family	902566 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Memorial Hospital Desoto	Southaven, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Greenbrook Physician Services, Llc	5597267427	66

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. Kenneth A Krzyzkowski allows following entities to bill medicare on his behalf.

Entity Name	Baptist Memorial Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20101011000028

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. Kenneth A Krzyzkowski 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
Kenneth A Krzyzkowski, NP 965 Ridge Lake Blvd Ste 103, Memphis, TN 38120-9446 Ph: (901) 227-3255	Kenneth A Krzyzkowski, NP 7601 Southcrest Pkwy, Southaven, MS 38671-4739 Ph: (662) 772-2980

Reviews and Comments

Nurse Practitioner Nurses in Southaven, MS

Mr. Nathaniel Levi Bump, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7111 Southcrest Pkwy Ste 109, Southaven, MS 38671 Phone: 662-503-7416 Fax: 662-349-9082
Ms. Sherlean D Shugars, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2149 Stateline Rd W, Southaven, MS 38671 Phone: 662-342-1112
Penny Marie Holley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672 Phone: 662-655-0456 Fax: 662-655-0457
Christopher Gully, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 363 Southcrest Cir Ste 202, Southaven, MS 38671 Phone: 901-226-0456 Fax: 901-226-0458
Mrs. Christy Le Anne Egbert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3100
Misty Burton, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 391 Southcrest Cir, Southaven, MS 38671 Phone: 662-349-2659
Mrs. Karen Kamillah Purnell, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1260 Chestnut Dr, Southaven, MS 38671 Phone: 662-897-8973

Kenneth A Krzyzkowski, NP - Medicare Nurse Practitioner in Southaven, MS