Brian Wasicek, - Medicare Student in an Organized Health Care Education/Training Program in Farmington, CT

Brian Wasicek, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Farmington, Connecticut. His current practice location is 263 Farmington Ave, Farmington, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 679-4733.

Brian Wasicek is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699304121.

Contact Information

Brian Wasicek,
263 Farmington Ave,
Farmington, CT 06030-1410
(860) 679-4733
Not Available



Physician's Profile

Full NameBrian Wasicek
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location263 Farmington Ave, Farmington, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699304121
  • Provider Enumeration Date: 04/06/2020
  • Last Update Date: 11/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5294104667
  • Enrollment ID: I20221206002674

Medical Identifiers

Medical identifiers for Brian Wasicek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699304121NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 72791 (Connecticut)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brian Wasicek allows following entities to bill medicare on his behalf.
Entity NameWindham Community Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023191467
PECOS PAC ID: 2961309059
Enrollment ID: O20031217000231

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Entity NameThe William W Backus Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467517235
PECOS PAC ID: 0749170645
Enrollment ID: O20040316000739

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Wasicek is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brian Wasicek,
263 Farmington Ave,
Farmington, CT 06030-1410

Ph: (860) 679-4733
Brian Wasicek,
263 Farmington Ave,
Farmington, CT 06030-1410

Ph: (860) 679-4733

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