Dr William L Niedrach, MD is a medicare enrolled "Urology" physician in Medford, New Jersey. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Urology. He is a member of the group practice Wellspan Medical Group and his current practice location is
11 Roxbury Dr, Medford, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(609) 304-4337.
Dr William L Niedrach is licensed to practice in Pennsylvania (license number MD479949) 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 1134190820.
Physician's Profile
| Full Name | Dr William L Niedrach |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 40 Years |
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| Location | 11 Roxbury Dr, Medford, New Jersey |
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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 William L Niedrach graduated from medical school in 1984
NPI Data:
- NPI Number: 1134190820
- Provider Enumeration Date: 01/30/2006
- Last Update Date: 02/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951387653
- Enrollment ID: I20230215001693
Medical Identifiers
Medical identifiers for Dr William L Niedrach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134190820 | NPI | - | NPPES |
| 0654743000 | Other | | AMERIHEALTH |
| 0465067 | Other | | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 25MA05931400 (New Jersey) | Secondary |
| 208800000X | Urology | MD479949 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wellspan Medical Group | 1951213115 | 1966 |
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 William L Niedrach allows following entities to bill medicare on his behalf.
| Entity Name | Wellspan Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750480299
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815 |
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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 William L Niedrach 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 William L Niedrach, MD
11 Roxbury Dr,
Medford, NJ 08055-3202
Ph: () - | Dr William L Niedrach, MD
11 Roxbury Dr,
Medford, NJ 08055-3202
Ph: (609) 304-4337 |
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