Dr Thaddeus Wilson Herliczek, MD in Washington, DC

Dr Thaddeus Wilson Herliczek, MD is a medicare enrolled "Radiology - Pediatric Radiology" physician in Washington, District Of Columbia. He went to University Of Massachusetts Medical School and graduated in 2002 and has 22 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Rhode Island Medical Imaging and his current practice location is 111 Michigan Avenue Nw, Dept. Of Radiology, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at (202) 476-5000.

Dr Thaddeus Wilson Herliczek is licensed to practice in District Of Columbia (license number MD500003109) 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 1053457721.

Contact Information

	Dr Thaddeus Wilson Herliczek, MD
	111 Michigan Avenue Nw, Dept. Of Radiology, Washington, DC 20010-2916
	(202) 476-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Thaddeus Wilson Herliczek
Gender	Male
Speciality	Diagnostic Radiology
Experience	22 Years
Location	111 Michigan Avenue Nw, Washington, District Of Columbia
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 Thaddeus Wilson Herliczek attended and graduated from University Of Massachusetts Medical School in 2002

NPI Data:

NPI Number: 1053457721
Provider Enumeration Date: 01/30/2007
Last Update Date: 05/17/2024

Medicare PECOS Information:

PECOS PAC ID: 5395818413
Enrollment ID: I20080723000523

Medical Identifiers

Medical identifiers for Dr Thaddeus Wilson Herliczek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053457721	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085P0229X	Radiology - Pediatric Radiology	MD500003109 (District Of Columbia)	Primary
2085R0202X	Radiology - Diagnostic Radiology	12603 (Rhode Island)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	214342 (Massachusetts)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Miriam Hospital	Providence, RI	Hospital
Rhode Island Hospital	Providence, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rhode Island Medical Imaging	8022097815	106

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 Thaddeus Wilson Herliczek allows following entities to bill medicare on his behalf.

Entity Name	Rhode Island Medical Imaging
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205874930 PECOS PAC ID: 8022097815 Enrollment ID: O20040715000832

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 Thaddeus Wilson Herliczek 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 Thaddeus Wilson Herliczek, MD Po Box 744785, Atlanta, GA 30374-4785 Ph: (202) 476-5000	Dr Thaddeus Wilson Herliczek, MD 111 Michigan Avenue Nw, Dept. Of Radiology, Washington, DC 20010-2916 Ph: (202) 476-5000

Reviews and Comments

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Kimberly Smith, Radiology Medicare: Accepting Medicare Assignments Practice Location: 110 Irving St Nw, Washington, DC 20010 Phone: 301-902-1073
Dr. Michael B Shvarts, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 110 Irving St Nw, Washington, DC 20010 Phone: 202-877-7000
Jonathan Rischall, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2150 Pennsylvania Avenue, Nw, The Gw Medical Faculty Associates, Washington, DC 20037 Phone: 202-741-3000
Malem Gutema, MD Radiology Medicare: Medicare Enrolled Practice Location: 2400 6th St Nw, Washington, DC 20059 Phone: 503-476-5205
Joel Bowers, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1150 Varnum St Ne, Washington, DC 20017 Phone: 202-269-7000
Krista Lyn Mcfarren, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3301 New Mexico Ave Nw, Suite 102, Washington, DC 20016 Phone: 202-966-0606 Fax: 202-244-6757
Ranjith Vellody, MD Radiology Medicare: Medicare Enrolled Practice Location: 111 Michigan Ave Nw, Washington, DC 20010 Phone: 202-476-5000

Dr Thaddeus Wilson Herliczek, MD - Medicare Diagnostic Radiology in Washington, DC