Mariusz Niedzwiecki, - Medicare Nurse Practitioner in San Jose, CA

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Mariusz Niedzwiecki, is a medicare enrolled "Nurse Practitioner" in San Jose, California. He graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Team Physicians Of Northern California Medical Group Inc, Clinic Services Of California Medical Group Inc, Sharp Rees-stealy Medical Group Inc and his current practice location is 2514 Berryessa Rd, San Jose, California. You can reach out to his office (for appointments etc.) via phone at (408) 272-1431.

Mariusz Niedzwiecki is licensed to practice in California (license number 95017485) 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 1083281679.

Contact Information

Mariusz Niedzwiecki,
2514 Berryessa Rd,
San Jose, CA 95132-2947
(408) 272-1431
Not Available

Map and Direction




Provider's Profile

Full NameMariusz Niedzwiecki
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location2514 Berryessa Rd, San Jose, California
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:
  • Mariusz Niedzwiecki graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1083281679
  • Provider Enumeration Date: 06/10/2021
  • Last Update Date: 09/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7719378504
  • Enrollment ID: I20220105002600

Medical Identifiers

Medical identifiers for Mariusz Niedzwiecki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083281679NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95017485 (California)Secondary
363L00000XNurse Practitioner 95017485 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grossmont HospitalLa mesa, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Team Physicians Of Northern California Medical Group Inc711321514695
Clinic Services Of California Medical Group Inc781020971567
Sharp Rees-stealy Medical Group Inc8628972759767

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. Mariusz Niedzwiecki allows following entities to bill medicare on his behalf.
Entity NameSharp Rees-stealy Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285616177
PECOS PAC ID: 8628972759
Enrollment ID: O20031120000996
Entity NameSomagen Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396058137
PECOS PAC ID: 1557530151
Enrollment ID: O20110817000276
Entity NameSomagen Healthcare Ii Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316225147
PECOS PAC ID: 4981877735
Enrollment ID: O20111024000461
Entity NameSomagen Healthcare Iii Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558788620
PECOS PAC ID: 8921225830
Enrollment ID: O20140815001327
Entity NameClinic Services Of California Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578958450
PECOS PAC ID: 7810209715
Enrollment ID: O20150707001394
Entity NameTeam Physicians Of Northern California Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649692716
PECOS PAC ID: 7113215146
Enrollment ID: O20161006002407
Entity NameEmergency Physicians Associates San Jose Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306311576
PECOS PAC ID: 8921344292
Enrollment ID: O20190107003386

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. Mariusz Niedzwiecki 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
Mariusz Niedzwiecki,
2514 Berryessa Rd,
San Jose, CA 95132-2947

Ph: (408) 272-1431		Mariusz Niedzwiecki,
2514 Berryessa Rd,
San Jose, CA 95132-2947

Ph: (408) 272-1431

Reviews and Comments


Nurse Practitioner Nurses in San Jose, CA

Louise Mary Bruce, FNP
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Medicare: Medicare Enrolled
Practice Location: 1691 The Alameda, San Jose, CA 95126
Phone: 408-287-7526    Fax: 408-971-6963
Jodie Sugiyama, GNP
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Practice Location: 4850 Union Ave, San Jose, CA 95124
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Phone: 443-827-2023    
Dr. Julianna Nicole Neyman Youssef, DNP, APRN, FNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 4150 N 1st St, San Jose, CA 95134
Phone: 408-871-5070    
Laura J Ohara, R.N., P.N.P.
Nurse Practitioner
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Practice Location: 2577 Samaritan Drive, Suite 815, San Jose, CA 95124
Phone: 408-358-3573    
Julie Dutton, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4855 Atherton Ave Ste 101, San Jose, CA 95130
Phone: 408-963-2400    Fax: 408-963-2472
Thu Lan T Pham, NP
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Practice Location: 751 S Bascom Ave, San Jose, CA 95128
Phone: 408-885-5000    

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.