Andrea Alison Wierzchowski, is a medicare enrolled "Clinical Neuropsychologist" provider in Dallas, Texas. Her current practice location is
6080 N Central Expy, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(469) 646-0366.
Andrea Alison Wierzchowski is licensed to practice in Texas (license number 38877) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114573466.
Healthcare Provider's Profile
Full Name | Andrea Alison Wierzchowski |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 6080 N Central Expy, Dallas, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114573466
- Provider Enumeration Date: 08/13/2019
- Last Update Date: 01/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749665883
- Enrollment ID: I20220909002794
Medical Identifiers
Medical identifiers for Andrea Alison Wierzchowski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114573466 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 38877 (Texas) | Secondary |
103G00000X | Clinical Neuropsychologist | 38877 (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. Andrea Alison Wierzchowski allows following entities to bill medicare on her behalf.
Entity Name | Texas Scottish Rite Hospital For Crippled Children |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598188948 PECOS PAC ID: 0446422844 Enrollment ID: O20140505001295 |
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Entity Name | One Rehab |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952954240 PECOS PAC ID: 7618208752 Enrollment ID: O20191029000793 |
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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. Andrea Alison Wierzchowski 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 |
Andrea Alison Wierzchowski, 6080 N Central Expy, Dallas, TX 75206-5202 Ph: (469) 646-0366 | Andrea Alison Wierzchowski, 6080 N Central Expy, Dallas, TX 75206-5202 Ph: (469) 646-0366 |
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