Daniel William Kucerak II
Individual provider Active NPI Physician Assistant · Plainwell, MI
NPI 1700612306 · NPPES record last updated Sep 10, 2024
Key facts
- NPI
- 1700612306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1221 M 89
Plainwell, MI 49080-1180 - Phone
- (269) 680-3710
- NPI assigned
- Sep 10, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Plainwell Urgent Care Walk-in Clinic PC
Practice addresses (Care Compare)
1221 M
89 Suite 200
Plainwell, MI 49080-1180
Phone (517) 662-3144
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250211003746 | MI | Practitioner - Physician Assistant | 3678003225 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MI | Yes |
Addresses
Primary practice location
1221 M 89
Plainwell, MI 49080-1180
Mailing address
1750 N 10TH St
Kalamazoo, MI 49009-9157
Phone (269) 447-9831
Other providers in Plainwell, MI
- Kalamazoo Emergency Associates, PLC
- Rachel Keiser
- James H Kendrick
- Jeanette R Kievit
- Larisa Arnette King
- Jean Lafever
- Lee L Lapham
- Kelly Lester
- Life Care Centers of America Inc
- Amber Lintz
All providers in Plainwell, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.