Vecheslav Fedorchenco, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Trophy Club, Texas. His current practice location is
2800 Tx-114, Ste 350, Trophy Club, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 674-7983.
Vecheslav Fedorchenco is licensed to practice in Texas (license number R8350) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750815189.
Physician's Profile
| Full Name | Vecheslav Fedorchenco |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 2800 Tx-114, Trophy Club, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750815189
- Provider Enumeration Date: 04/12/2017
- Last Update Date: 02/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759762123
- Enrollment ID: I20220715001831
Medical Identifiers
Medical identifiers for Vecheslav Fedorchenco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750815189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | R8350 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | R8350 (Texas) | Primary |
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. Vecheslav Fedorchenco allows following entities to bill medicare on his behalf.
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972579365
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792 |
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| Entity Name | Kotel Atx |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568055192
PECOS PAC ID: 9537578810
Enrollment ID: O20210518000994 |
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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. Vecheslav Fedorchenco 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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Vecheslav Fedorchenco, MD
2800 Tx-114, Ste 350,
Trophy Club, TX 76262
Ph: (817) 674-7983 | Vecheslav Fedorchenco, MD
2800 Tx-114, Ste 350,
Trophy Club, TX 76262
Ph: (817) 674-7983 |
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