Dr Keith Wayne Wisniewski, MD 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 Dermatology Associates Of West Texas, 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

Map and Direction

Physician's Profile

Full Name	Dr Keith Wayne Wisniewski
Gender	Male
Speciality	Dermatology
Experience	21 Years
Location	2202 Ithaca Ave, Lubbock, Texas
Accepts Medicare Assignments	Yes. 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.

Identifier	Type	State	Issuer
1588792741	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	M5588 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dermatology Associates Of West Texas, Llp	7911048632	4

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 Name	Dermatology Associates Of West Texas, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679704530 PECOS PAC ID: 7911048632 Enrollment ID: O20100104000221

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 Address	Practice 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

Reviews and Comments

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

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