Robert Wickiewicz, MD is a
Radiology - Diagnostic Radiology physician based in Valatie, New York. Robert Wickiewicz is licensed to practice in New York (license number 114150) and his current practice location is 1301 River St, Valatie, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 748-7736.
NPI number for Robert Wickiewicz is 1033100151 and his current mailing address is Po Box 1123, Latham, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033100151.
Physician's Profile
| Full Name | Robert Wickiewicz |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 1301 River St, Valatie, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033100151
- Provider Enumeration Date: 10/31/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Robert Wickiewicz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033100151 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 114150 (New York) | 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. Robert Wickiewicz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Robert Wickiewicz, MD
Po Box 1123,
Latham, NY 12110-0079
Ph: (800) 357-4829 | Robert Wickiewicz, MD
1301 River St,
Valatie, NY 12184-9694
Ph: (518) 748-7736 |
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