Dr Adam Russell Gwizdala, DO, PHARMD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Muskegon, Michigan. His current practice location is
1500 E Sherman Blvd, Muskegon, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 672-3937.
Dr Adam Russell Gwizdala is licensed to practice in Michigan (license number 5151015914) 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 1295160836.
Healthcare Provider's Profile
Full Name | Dr Adam Russell Gwizdala |
---|
Gender | Male |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 1500 E Sherman Blvd, Muskegon, Michigan |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295160836
- Provider Enumeration Date: 09/12/2013
- Last Update Date: 07/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507384641
- Enrollment ID: I20250513002249
Medical Identifiers
Medical identifiers for Dr Adam Russell Gwizdala such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295160836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 5302037090 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 5151015914 (Michigan) | 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. Dr Adam Russell Gwizdala allows following entities to bill medicare on his behalf.
Entity Name | Grand River Emergency Medical Group Plc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1114929353 PECOS PAC ID: 3274425905 Enrollment ID: O20040327000079 |
---|
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. Dr Adam Russell Gwizdala 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 |
Dr Adam Russell Gwizdala, DO, PHARMD 16923 Piper Way Apt 304, Grand Haven, MI 49417-9075 Ph: (989) 798-0222 | Dr Adam Russell Gwizdala, DO, PHARMD 1500 E Sherman Blvd, Muskegon, MI 49444-1849 Ph: (231) 672-3937 |
Reviews and Comments