DR. JACK S. BARTOSZEK D.O. - NPI 1093714818 - Family Medicine in Mishawaka, IN

Q: What is Jack Bartoszek's NPI number?

The NPI number for Jack Bartoszek is 1093714818. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Q: What is Jack Bartoszek's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Q: When was this NPI record last updated?

The NPPES record for Jack Bartoszek was last updated on September 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Jack S. Bartoszek D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK S. BARTOSZEK D.O. (NPI 1093714818) is an individual geriatric medicine provider in Mishawaka, Indiana, licensed in Indiana (02001105) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093714818

Entity TypeIndividualMale

Primary Taxonomy207QG0300X

Provider Legal NameDR. JACK S. BARTOSZEKCredential: D.O.

Location Address615 FULMER RDMishawaka, IN 46544-6911

Mailing Address4455 Edison Lakes Pkwy, Unity Medical Surgical HospitalMishawaka, IN 46545-1442 · (574) 252-3085 · Fax (574) 252-5906

Phone(574) 252-3085

Fax(574) 252-5906

Sole ProprietorNo

Enumeration DateJuly 14, 2005

Last NPPES UpdateSeptember 20, 2013

✔ NPI 1093714818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in IN · 02001105

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

615 FULMER RD, Mishawaka, IN 46544

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Other Identifiers 7

Medicare PIN184640EIN

Medicare PIN080093853 RR MED.IN

Medicare UPINE33584

Medicaid100335800AIN

Other000000109340IN · Anthem Number

OtherOA41009MI · Bcbsm

Medicare PINN99060005MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack S. Bartoszek D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46544 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MICHELE M SMITH FNP-BC

Nurse Practitioner (Family)