Dr Keith Wayne Wisniewski, MD - Medicare Dermatology in Lubbock, TX

Dr Keith Wayne Wisniewski, MD is a medicare enrolled "Dermatology" physician in Lubbock, Texas. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Paulger And Wisniewski Dermatology, Llp and his current practice location is 2202 Ithaca Ave, Lubbock, Texas. You can reach out to his office (for appointments etc.) via phone at (806) 797-1202.

Dr Keith Wayne Wisniewski is licensed to practice in Texas (license number M5588) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588792741.

Contact Information

Dr Keith Wayne Wisniewski, MD
2202 Ithaca Ave,
Lubbock, TX 79410-1332
(806) 797-1202
Not Available



Physician's Profile

Full NameDr Keith Wayne Wisniewski
GenderMale
SpecialityDermatology
Experience21 Years
Location2202 Ithaca Ave, Lubbock, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Keith Wayne Wisniewski attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1588792741
  • Provider Enumeration Date: 03/01/2007
  • Last Update Date: 06/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2961598834
  • Enrollment ID: I20071023000826

Medical Identifiers

Medical identifiers for Dr Keith Wayne Wisniewski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588792741NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology M5588 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Paulger And Wisniewski Dermatology, Llp79110486324

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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. Dr Keith Wayne Wisniewski allows following entities to bill medicare on his behalf.
Entity NamePaulger & Wisniewski Dermatology, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679704530
PECOS PAC ID: 7911048632
Enrollment ID: O20100104000221

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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. Dr Keith Wayne Wisniewski 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
Dr Keith Wayne Wisniewski, MD
2202 Ithaca Ave,
Lubbock, TX 79410-1332

Ph: (806) 797-1202
Dr Keith Wayne Wisniewski, MD
2202 Ithaca Ave,
Lubbock, TX 79410-1332

Ph: (806) 797-1202

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Dermatology Doctors in Lubbock, TX

Dr. Brent R. Paulger, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2202 Ithaca Ave, Lubbock, TX 79410
Phone: 806-797-1202    Fax: 806-797-4854
Dr. Bryan Harris, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3715 21st St, Lubbock, TX 79410
Phone: 806-795-0610    Fax: 806-795-0602
Ashley Sturgeon, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2202 Ithaca Ave, Lubbock, TX 79410
Phone: 806-797-1202    Fax: 806-797-4854
Dr. Michael David Long, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 6012 82nd St Ste 15, Lubbock, TX 79424
Phone: 806-749-7933    Fax: 806-749-6117
Michelle Babb Tarbox, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3601 4th St, Department Of Dermatology, Lubbock, TX 79430
Phone: 806-743-1842    Fax: 806-743-2933
Dr. Amy Rocky Brackeen, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4709 66th St, Lubbock, TX 79414
Phone: 806-701-5844    Fax: 806-701-5845
Dr. Richard H Hope, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3601 22nd St, Lubbock, TX 79410
Phone: 806-796-7193    Fax: 809-796-0034

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