Dr Holly Wasniewski, DO is a medicare enrolled "Family Medicine" physician in Charlton, New York. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2003 and has 21 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Community Care Physicians Pllc and her current practice location is
286 Stage Rd, Charlton, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 399-2101.
Dr Holly Wasniewski is licensed to practice in New York (license number 240602) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417020090.
Physician's Profile
| Full Name | Dr Holly Wasniewski |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 21 Years |
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| Location | 286 Stage Rd, Charlton, New York |
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| Accepts Medicare Assignments | Yes. She 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 Holly Wasniewski attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2003
NPI Data:
- NPI Number: 1417020090
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 03/27/2018
Medicare PECOS Information:
- PECOS PAC ID: 1759488968
- Enrollment ID: I20070523000453
Medical Identifiers
Medical identifiers for Dr Holly Wasniewski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417020090 | NPI | - | NPPES |
| 02826373 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 240602 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Community Care Physicians Pllc | 8022904473 | 365 |
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 Holly Wasniewski allows following entities to bill medicare on her behalf.
| Entity Name | Community Care Physicians Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922048370
PECOS PAC ID: 8022904473
Enrollment ID: O20080130000272 |
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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 Holly Wasniewski 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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Dr Holly Wasniewski, DO
711 Troy Schenectady Rd Ste 203,
Latham, NY 12110-2461
Ph: (518) 782-3700 | Dr Holly Wasniewski, DO
286 Stage Rd,
Charlton, NY 12019-2618
Ph: (518) 399-2101 |
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