Thomas J Rozwadowski, MD - Medicare Emergency Medicine in Ba, CA

Thomas J Rozwadowski, MD is a medicare enrolled "Emergency Medicine" physician in Ba, California. His current practice location is 555 7th St, Ba, California. You can reach out to his office (for appointments etc.) via phone at (760) 957-3203.

Thomas J Rozwadowski is licensed to practice in California (license number A104716) 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 1508917105.

Contact Information

Thomas J Rozwadowski, MD
555 7th St,
Ba, CA 93556-0808
(760) 957-3203
Not Available



Physician's Profile

Full NameThomas J Rozwadowski
GenderMale
SpecialityEmergency Medicine
Location555 7th St, Ba, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508917105
  • Provider Enumeration Date: 01/12/2007
  • Last Update Date: 09/22/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 9032277835
  • Enrollment ID: I20181214001338

Medical Identifiers

Medical identifiers for Thomas J Rozwadowski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508917105NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine ME 100274 (Florida)Secondary
207P00000XEmergency Medicine A104716 (California)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. Thomas J Rozwadowski allows following entities to bill medicare on his behalf.
Entity NameParagon Emergency Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912101650
PECOS PAC ID: 8628153087
Enrollment ID: O20080310000143

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Entity NameLake Oliver Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013675016
PECOS PAC ID: 4688060940
Enrollment ID: O20220413002299

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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. Thomas J Rozwadowski 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
Thomas J Rozwadowski, MD
1905 Blue Ridge Rd,
Ridgecrest, CA 93555-2703

Ph: (904) 327-7121
Thomas J Rozwadowski, MD
555 7th St,
Ba, CA 93556-0808

Ph: (760) 957-3203

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Emergency Medicine Doctors in Ba, CA


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