Mr Thomas Mickowski, CRNP in Kingston, PA - Medicare Nurse Practitioner

Mr Thomas Mickowski, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Kingston, Pennsylvania. 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 Geisinger Clinic and his current practice location is 511 Pierce St, Kingston, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 243-3300.

Mr Thomas Mickowski is licensed to practice in Pennsylvania (license number SP022412) 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 1053997999.

Contact Information

	Mr Thomas Mickowski, CRNP
	511 Pierce St, Kingston, PA 18704-5731
	(570) 243-3300
	(570) 338-3993

Map and Direction

Provider's Profile

Full Name	Mr Thomas Mickowski
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	511 Pierce St, Kingston, Pennsylvania
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:

Mr Thomas Mickowski graduated from nursing school in 2020

NPI Data:

NPI Number: 1053997999
Provider Enumeration Date: 03/22/2021
Last Update Date: 01/03/2024

Medicare PECOS Information:

PECOS PAC ID: 8729457080
Enrollment ID: I20221207003216

Medical Identifiers

Medical identifiers for Mr Thomas Mickowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053997999	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP022412 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Geisinger-community Medical Center	Scranton, PA	Hospital
Geisinger Wyoming Valley Medical Center	Wilkes barre, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Geisinger Clinic	5395657001	3078

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. Mr Thomas Mickowski allows following entities to bill medicare on his behalf.

Entity Name	Geisinger Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518

Entity Name	Medical Center Of Northeastern Pa Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063715639 PECOS PAC ID: 1951579762 Enrollment ID: O20110721000872

Entity Name	Ultra Care Urgent And Family Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205334729 PECOS PAC ID: 1951662063 Enrollment ID: O20180307000606

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. Mr Thomas Mickowski 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
Mr Thomas Mickowski, CRNP Po Box 1885, Kingston, PA 18704-0885 Ph: (570) 288-8881	Mr Thomas Mickowski, CRNP 511 Pierce St, Kingston, PA 18704-5731 Ph: (570) 243-3300

Reviews and Comments

Nurse Practitioner Nurses in Kingston, PA

Matthew Booth, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 480 Pierce St Ste 320, Kingston, PA 18704 Phone: 570-479-1627
Anntoinette Romanowski, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 511 Pierce St, Kingston, PA 18704 Phone: 570-243-3300 Fax: 570-338-3993
Angela Luongo, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 382 Pierce St, Kingston, PA 18704 Phone: 570-288-7231
Stephanie Grencavage, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 390 Pierce St, Kingston, PA 18704 Phone: 570-288-3535
Mrs. Glorymardy Cruz, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 Pierce St, Kingston, PA 18704 Phone: 570-714-3333
Catherine Champi, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 610 Wyoming Ave, Suite 1, Kingston, PA 18704 Phone: 570-288-5441 Fax: 570-288-9613

Mr Thomas Mickowski, CRNP - Medicare Nurse Practitioner in Kingston, PA