Dr Adam Russell Gwizdala, DO, PHARMD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Muskegon, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Grand River Emergency Medical Group Plc and 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
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 1295160836.
Healthcare Provider's Profile
| Full Name | Dr Adam Russell Gwizdala |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 4 Years |
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| Location | 1500 E Sherman Blvd, Muskegon, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Adam Russell Gwizdala attended and graduated from Michigan State University College Of Osteopathic Medicine in 2022
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 |
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| 1295160836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 183500000X | Pharmacist | 5302037090 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 5151015914 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Grand River Emergency Medical Group Plc | 3274425905 | 34 |
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 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114929353
PECOS PAC ID: 3274425905
Enrollment ID: O20040327000079 |
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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 |
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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 |
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