Michael Kuczkowski, PA - Medicare Physician Assistant in Jacksonville, FL

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Michael Kuczkowski, PA is a medicare enrolled "Physician Assistant" in Jacksonville, Florida. His current practice location is 1 Shircliff Way, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 308-8435.

Michael Kuczkowski is licensed to practice in Florida (license number PA2852) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144263104.

Contact Information

Michael Kuczkowski, PA
1 Shircliff Way,
Jacksonville, FL 32204
(904) 308-8435
(904) 346-0113

Map and Direction




Provider's Profile

Full NameMichael Kuczkowski
GenderMale
SpecialityPhysician Assistant
Location1 Shircliff Way, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144263104
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 10/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345307054
  • Enrollment ID: I20090325000322

Medical Identifiers

Medical identifiers for Michael Kuczkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144263104NPI-NPPES
970007146OtherFLRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA2852 (Florida)Primary
207P00000XEmergency Medicine PA0002852 (Florida)Secondary

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. Michael Kuczkowski allows following entities to bill medicare on his behalf.
Entity NameEmergency Medical Specialists of Jacksonville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295738367
PECOS PAC ID: 2668361080
Enrollment ID: O20040313000203
Entity NameSt Vincent's Full Service Urgent Care, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750672051
PECOS PAC ID: 4183879364
Enrollment ID: O20130220000322
Entity NameCep America LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295442614
PECOS PAC ID: 6608056171
Enrollment ID: O20230131002198

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. Michael Kuczkowski 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
Michael Kuczkowski, PA
Po Box 863026,
Orlando, FL 32886-3026

Ph: (800) 288-8325		Michael Kuczkowski, PA
1 Shircliff Way,
Jacksonville, FL 32204

Ph: (904) 308-8435

Reviews and Comments


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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.