Samuel Holechek, RN in Baltimore, MD - Medicare Registered Nurse

Samuel Holechek, RN is a medicare enrolled "Registered Nurse" in Baltimore, Maryland. His current practice location is 525 N Wolfe St, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 955-4766.

Samuel Holechek is licensed to practice in Maryland (license number R235490) 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 1659941144.

Contact Information

	Samuel Holechek, RN
	525 N Wolfe St, Baltimore, MD 21205-2110
	(410) 955-4766
	Not Available

Map and Direction

Provider's Profile

Full Name	Samuel Holechek
Gender	Male
Speciality	Registered Nurse
Location	525 N Wolfe St, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659941144
Provider Enumeration Date: 06/28/2021
Last Update Date: 06/28/2021

Medicare PECOS Information:

PECOS PAC ID: 1759822307
Enrollment ID: I20240923002035

Medical Identifiers

Medical identifiers for Samuel Holechek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659941144	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R235490 (Maryland)	Primary

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. Samuel Holechek allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Samuel Holechek 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
Samuel Holechek, RN 23 Yogurt Ln, Baltimore, MD 21231-1825 Ph: (443) 244-5111	Samuel Holechek, RN 525 N Wolfe St, Baltimore, MD 21205-2110 Ph: (410) 955-4766

Reviews and Comments

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Samuel Holechek, RN - Medicare Registered Nurse in Baltimore, MD