Dr Thomas Nicholas Czarnecki Jr, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Germantown, Wisconsin. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Columbia St Marys Hospital Milwaukee Inc and his current practice location is
N112w15415 Mequon Rd, Germantown, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 250-7800.
Dr Thomas Nicholas Czarnecki Jr is licensed to practice in Wisconsin (license number 025-519) 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 1881769776.
Healthcare Provider's Profile
| Full Name | Dr Thomas Nicholas Czarnecki Jr |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 40 Years |
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| Location | N112w15415 Mequon Rd, Germantown, Wisconsin |
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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 Thomas Nicholas Czarnecki Jr graduated from medical school in 1984
NPI Data:
- NPI Number: 1881769776
- Provider Enumeration Date: 11/23/2006
- Last Update Date: 06/12/2012
Medicare PECOS Information:
- PECOS PAC ID: 7012063092
- Enrollment ID: I20090916000183
Medical Identifiers
Medical identifiers for Dr Thomas Nicholas Czarnecki Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881769776 | NPI | - | NPPES |
| 43205100 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0131X | Podiatrist - Foot Surgery | 025-519 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Columbia St Marys Hospital Milwaukee Inc | 5890604722 | 279 |
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 Thomas Nicholas Czarnecki Jr allows following entities to bill medicare on his behalf.
| Provider Name | Columbia St Marys Hospital Milwaukee Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057 |
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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 Thomas Nicholas Czarnecki Jr 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 Thomas Nicholas Czarnecki Jr, DPM
4425 N Port Washington Rd, Attn: Csmcp Clinic Credentialing,
Glendale, WI 53212-1082
Ph: (262) 250-7800 | Dr Thomas Nicholas Czarnecki Jr, DPM
N112w15415 Mequon Rd,
Germantown, WI 53022-3410
Ph: (262) 250-7800 |
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