Mr Thomas C Waynick, MDIV MS LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Fort Benning, Georgia. His current practice location is
Family Life Chaplain, Building 2606, Dixie Road, Fort Benning, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 545-2017.
Mr Thomas C Waynick is licensed to practice in Louisiana (license number 65) 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 1265626063.
Healthcare Provider's Profile
| Full Name | Mr Thomas C Waynick |
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| Gender | Male |
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| Speciality | Marriage & Family Therapist |
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| Location | Family Life Chaplain, Fort Benning, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265626063
- Provider Enumeration Date: 09/05/2007
- Last Update Date: 09/05/2007
Medicare PECOS Information:
- PECOS PAC ID: 9234580945
- Enrollment ID: I20240108000431
Medical Identifiers
Medical identifiers for Mr Thomas C Waynick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265626063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | 65 (Louisiana) | 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. Mr Thomas C Waynick allows following entities to bill medicare on his behalf.
| Entity Name | Pastoral Institute, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477605707
PECOS PAC ID: 2062494453
Enrollment ID: O20040601000755 |
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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. Mr Thomas C Waynick 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 Address | Practice Location Address |
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Mr Thomas C Waynick, MDIV MS LMFT
Family Life Chaplain, Building 2606, Dixie Road,
Fort Benning, GA 31905
Ph: (706) 545-2017 | Mr Thomas C Waynick, MDIV MS LMFT
Family Life Chaplain, Building 2606, Dixie Road,
Fort Benning, GA 31905
Ph: (706) 545-2017 |
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