Dr Brian Louis Vasquez, PHD is a medicare enrolled "Psychologist - Counseling" provider in Lakeway, Texas. His current practice location is
801 Rr 620 South, Ste 100 F, Lakeway, Texas. You can reach out to his office (for appointments etc.) via phone at
(512) 981-7789.
Dr Brian Louis Vasquez is licensed to practice in Texas (license number 34365) 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 1104130814.
Healthcare Provider's Profile
| Full Name | Dr Brian Louis Vasquez |
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| Gender | Male |
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| Speciality | Psychologist - Counseling |
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| Location | 801 Rr 620 South, Lakeway, 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: 1104130814
- Provider Enumeration Date: 08/05/2010
- Last Update Date: 08/05/2010
Medicare PECOS Information:
- PECOS PAC ID: 5991983231
- Enrollment ID: I20120828000872
Medical Identifiers
Medical identifiers for Dr Brian Louis Vasquez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104130814 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 103TC1900X | Psychologist - Counseling | 34365 (Texas) | Primary |
| 103TE1100X | Psychologist - Exercise & Sports | (* (Not Available)) | Secondary |
| 103TH0004X | Psychologist - Health | (* (Not Available)) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
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 Brian Louis Vasquez 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 Brian Louis Vasquez, PHD
15201 Falcon Dr.,
Lakeway, TX 78734
Ph: (512) 656-1231 | Dr Brian Louis Vasquez, PHD
801 Rr 620 South, Ste 100 F,
Lakeway, TX 78734
Ph: (512) 981-7789 |
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