Dr Charles Wisniewski, DO is a medicare enrolled "Clinic/center - Adolescent And Children Mental Health" physician in Philadelphia, Pennsylvania. His current practice location is
4641 Roosevelt Blvd, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 831-2600.
Dr Charles Wisniewski is licensed to practice in * (Not Available) (license number ) 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 1770997587.
Physician's Profile
| Full Name | Dr Charles Wisniewski |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 4641 Roosevelt Blvd, Philadelphia, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Charles Wisniewski attended and graduated from in
NPI Data:
- NPI Number: 1770997587
- Provider Enumeration Date: 06/19/2014
- Last Update Date: 10/12/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Charles Wisniewski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770997587 | NPI | - | NPPES |
| 1770997587 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | OS019121 (Pennsylvania) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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 Charles 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 Address | Practice Location Address |
|---|
Dr Charles Wisniewski, DO
4641 Roosevelt Blvd Ste E223,
Philadelphia, PA 19124-2343
Ph: (631) 831-4053 | Dr Charles Wisniewski, DO
4641 Roosevelt Blvd,
Philadelphia, PA 19124-2343
Ph: (215) 831-2600 |
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