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BRANDON RADZIEWICZ
NPI 1417733031
Counselor - Professional in Pottsville, PA

Active since September 08, 2023PECOS EnrolledAccepts Medicare Assignment
1 S 2ND ST, POTTSVILLE, PA 17901(570) 628-6990(570) 628-5899 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brandon Radziewicz NPPES

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

BRANDON RADZIEWICZ (NPI 1417733031) is an individual professional provider in Pottsville, Pennsylvania, licensed in Pennsylvania (PC015965) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1417733031
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRANDON RADZIEWICZ
Location Address1 S 2ND STPottsville, PA 17901-3174
Mailing Address205 S 4th StMinersville, PA 17954-1103 · (570) 691-6945
Phone(570) 628-6990
Fax(570) 628-5899
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 8, 2023
NPPES CertifiedSeptember 8, 2023
✔ NPI 1417733031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC015965
1 S 2ND ST, Pottsville, PA 17901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brandon Radziewicz is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305285362
PECOS Enrollment IDI20240423004265
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.

Medicare Billing Reassignment

Medicare enrollment records show Brandon Radziewicz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cornerstone Coordinated Health Care, LLC
6.6 mi
Rural Health
40 W FRACK ST
Frackville, PA 17931
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 6 clinicians in this Medicare group
NPI 1811269186 (570) 794-6123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

GAUDENZIA INC
Clinic/Center
1 S 2ND ST, 4TH FLOOR
POTTSVILLE, PA 17901
Schuylkill County (570) 622-6485
CHRISTOPHER A COOPER
Counselor (Professional)
1 S 2ND ST
POTTSVILLE, PA 17901
Schuylkill County (570) 628-6990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Radziewicz's NPI number?

The NPI number for Brandon Radziewicz is 1417733031. It was assigned to this individual provider in the NPPES registry on September 8, 2023.

Where is Brandon Radziewicz located?

Brandon Radziewicz practices at 1 S 2nd St, Pottsville, PA 17901. The listed phone number is (570) 628-6990.

What is Brandon Radziewicz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Brandon Radziewicz enrolled in Medicare?

Yes. Brandon Radziewicz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brandon Radziewicz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Radziewicz reassigns Medicare benefits to Cornerstone Coordinated Health Care, LLC (Frackville, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandon Radziewicz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandon Radziewicz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Brandon Radziewicz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brandon Radziewicz was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.