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Active NPI 1194120535 Individual Practitioner Male Practitioner

Lucas W Maliwacki , PA-C

Physician Assistant • Bradenton, FL

Professional Overview & Biography Verified Profile Summary

Lucas Maliwacki, PA-C is a registered healthcare professional specializing in Physician Assistant in Bradenton, FL. Practice services are available at 4647 MANATEE AVE W under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4647 Manatee Ave W

Bradenton, FL 342093816

Telephone 9417455999
Fax 9417453555
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bradenton, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
109 Specialists

Practicing in Bradenton, FL (10376 Statewide)

Telehealth Adoption Rate
10.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
84.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
126 126 $1056.62 $157.91
99284 Emergency department visit with moderate level of medical decision making
76 76 $701.21 $108.78

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9108377

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
John Pelick , FNP

Nurse Practitioner - Family

NPI 1093722555

Family Nurse Practitioner

NPI 1154513364

Doctor of Medicine (M.D.)

Dr. Asha Munshi , MD

Family Medicine

NPI 1346271699

Doctor of Medicine (M.D.)

Guy Guimond , PA-C

Physician Assistant

NPI 1437595782

Physician Assistant (Certified)

Victoria Correll , PA-C

Physician Assistant

NPI 1689148306

Physician Assistant (Certified)

Marilyn Waters , FNP

Nurse Practitioner - Family

NPI 1881240273

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active September 27, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address September 27, 2017

Registered at 367 S. GULPH RD, ATT: IPM CREDENTIALING, KING OF PRUSSIA, PA 194063121 (Tel: 7753569393)

📍
Updated Practice Location September 27, 2017

Registered at 4647 MANATEE AVE W, BRADENTON, FL 342093816 (Tel: 9417455999)

👤
Provider Name / Credentials Updated September 27, 2017

Recorded as LUCAS MALIWACKI, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2017

Physician Assistant

NPI Profile Active April 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2016

Registered at 4647 MANATEE AVE W, BRADENTON, FL 342093816 (Tel: 9417455999)

📍
Updated Business Mailing Address April 07, 2016

Registered at PO BOX 637801, ATT: IPM CREDENTIALING, CINCINNATI, OH 452637801 (Tel: 7753569393)

👤
Provider Name / Credentials Updated April 07, 2016

Recorded as LUCAS MALIWACKI, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2016

Physician Assistant (License #PA9108377 in FL)

🟢
Initial NPI Registration & Enumeration October 28, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194120535
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2014
Last Update: September 27, 2017
Sole Proprietor: No

Mailing Address

367 S. Gulph Rd, Att: Ipm Credentialing

King Of Prussia, PA 194063121

Phone: 7753569393

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.