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Primary Practice Address
6320 WEDGWOOD RD N
MAPLE GROVE, MN 55311-3647 US
Accepts Medicare Payment

PECOS Enrolled

Pamela Kolacz

Family Medicine Physician


Pamela Kolacz

Overview

Pamela Kolacz is a Family Medicine Physician in the MAPLE GROVE area and has over 33 years of experience. Pamela Kolacz primary office location is at 6320 WEDGWOOD RD N and new patients are welcome to contact this healthcare provider for an appointment. She attended Indiana University School Of Medicine and graduated 1991

Pamela Kolacz is affiliated with one hospital in the MAPLE GROVE area, . The NPI number is 1205852480 and the information was updated approximately 12 years ago.

Pamela Kolacz is affiliated with one medical group in the MAPLE GROVE area, FAIRVIEW CLINICS.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
6320 WEDGWOOD RD N
MAPLE GROVE, MN 55311-3647 US
Phone: (763)-268-0400
Fax:
Practice Mailing Information
6320 WEDGWOOD RD N
MAPLE GROVE, MN 55311-3647 US
Phone: (763)-268-0400
Fax: (763)-268-0405

Practice Location Addresses: 1

License Number State
42205 MN
Type/Issuer IdentifierState
BLUE CROSS BLUE SHIELD 22G83KO MN

Quality Reporting:

Accepts Medicare Assignment: Yes

If a provider accepts Medicare Assignment, he or she will accept the approved Medicare payment and will not bill for more than the Medicare deductible or coinsurance.If 'maybe' is listed here, the provider might bill you for more than the Medicare amount.

Participates in the Medicare Electronic Health Records(EHR) program by using a certified EHR technology: No
Participates in PQRS reporting quality measures to Medicare as part of an incentive -for-reporting program: No
Participated in the Medicare Maintenance of Certification Program. A "Maintenance of Certification Program" encourages board certified physicians to continue learning and self-evaluating throughout their medical career.: No
Committed to heart health through the Million Hearts� initiative. encourages health care professionals to report and perform well on activities related to heart health in an effort to prevent heart attacks and strokes.: No

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20070402000512
PECOS Individual PAC ID: 9032213970
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes