Michal Plocienniczak, MD - Medicare Otolaryngology in Boston, MA

Michal Plocienniczak, MD is a medicare enrolled "Otolaryngology" physician in Boston, Massachusetts. His current practice location is 55 Fruit St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 726-1444.

Michal Plocienniczak is licensed to practice in Massachusetts (license number 275625) 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 1497259212.

Contact Information

Michal Plocienniczak, MD
55 Fruit St,
Boston, MA 02114-2621
(617) 726-1444
Not Available



Physician's Profile

Full NameMichal Plocienniczak
GenderMale
SpecialityOtolaryngology
Location55 Fruit St, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497259212
  • Provider Enumeration Date: 03/19/2018
  • Last Update Date: 06/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8022367358
  • Enrollment ID: I20230608000931

Medical Identifiers

Medical identifiers for Michal Plocienniczak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497259212NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 275625 (Massachusetts)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. Michal Plocienniczak allows following entities to bill medicare on his behalf.
Entity NameMassachusetts General Physicians Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801874573
PECOS PAC ID: 2466365820
Enrollment ID: O20031111000434

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Entity NameThe General Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023049236
PECOS PAC ID: 6507803806
Enrollment ID: O20080313000351

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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. Michal Plocienniczak 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 AddressPractice Location Address
Michal Plocienniczak, MD
830 Harrison Ave Fl 1,
Boston, MA 02118-2905

Ph: (617) 638-8124
Michal Plocienniczak, MD
55 Fruit St,
Boston, MA 02114-2621

Ph: (617) 726-1444

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Otolaryngology Doctors in Boston, MA

Dr. Steven D. Rauch, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 243 Charles St, Boston, MA 02114
Phone: 617-523-7900    
Elliott D. Kozin, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 243 Charles St, Boston, MA 02114
Phone: 617-573-6545    
Katherine Nicole Vandenberg, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 830 Harrison Ave Ste 1400, Boston, MA 02118
Phone: 617-638-8124    
Yoon Sun Chun, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 75 Francis St, Brigham And Women's Hospital Dept Of Plastic Surgery, Boston, MA 02115
Phone: 617-732-8181    Fax: 617-983-4534
Jaimie Derosa, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 91 Newbury St, Suite 300, Boston, MA 02116
Phone: 617-262-8000    Fax: 617-262-8002
Dr. Usama M Aboelkheir, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 736 Cambridge St, Smc8, Boston, MA 02135
Phone: 617-789-5004    Fax: 617-779-6481
Phillip C Song, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 243 Charles St, Boston, MA 02114
Phone: 617-573-3557    

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