Jurek Francisco Kocik, M.D.
Individual provider Active NPI Surgery Physician · Pittsburg, TX
NPI 1821296922 · NPPES record last updated Apr 15, 2020
Key facts
- NPI
- 1821296922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- Q5457 (TX)
- Practice address
- 2701 US Highway 271 N
Pittsburg, TX 75686-4289 - Phone
- (903) 946-5442
- Fax
- (903) 946-5258
- NPI assigned
- Jul 10, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Etmc Physician Group, Inc.
Pittsburg Hospital LLC
Practice addresses (Care Compare)
1020 E Idel St
Tyler, TX 75701-2024
Phone (903) 535-2902
2701 US Hwy 271 N
Pittsburg, TX 75686-4289
Phone (903) 946-5442
Hospital & facility affiliations
- Ut Health East Texas Pittsburg Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 13 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150902000935 | TX | Practitioner - General Surgery | 4284877580 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etmc Physician Group Inc. | Current |
Accepting new patients | |
| Etmc Physician Group Inc. | Current |
Accepting new patients | |
| Starks Medical | Past | Accepting new patients |
Locations
340 Seven Springs Way
Ste 100
Brentwood, TN 37027
Phone (615) 296-3000
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
2114 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6105
2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000
117 N Winnsboro St
Quitman, TX 75783
Phone (903) 763-4505
1020 E Idel St
Tyler, TX 75701
Phone (903) 535-2902
Interoperability endpoints
- jkocik355893@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Q5457 | TX | Yes |
Addresses
Primary practice location
2701 US Highway 271 N
Pittsburg, TX 75686-4289
Mailing address
2701 US Highway 271 N
Pittsburg, TX 75686-4289
Phone (903) 946-5442
Other providers in Pittsburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2020. 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.