Dr Frederick Verdonik, PHD is a medicare enrolled "Psychologist" provider in Jamestown, New York. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Jamestown Psychiatric Pc and his current practice location is
51 Glasgow Ave, Jamestown, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 664-8611.
Dr Frederick Verdonik is licensed to practice in New York (license number 011230) 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 1942291968.
Healthcare Provider's Profile
| Full Name | Dr Frederick Verdonik |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 38 Years |
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| Location | 51 Glasgow Ave, Jamestown, New York |
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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 Frederick Verdonik graduated from medical school in 1986
NPI Data:
- NPI Number: 1942291968
- Provider Enumeration Date: 10/31/2005
- Last Update Date: 05/05/2014
Medicare PECOS Information:
- PECOS PAC ID: 9133172539
- Enrollment ID: I20050225000267
Medical Identifiers
Medical identifiers for Dr Frederick Verdonik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942291968 | NPI | - | NPPES |
| 02341940 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 011230 (New York) | Primary |
| 103TA0700X | Psychologist - Adult Development & Aging | 011230 (New York) | Secondary |
| 103TC0700X | Psychologist - Clinical | 011230 (New York) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 011230 (New York) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 011230 (New York) | Secondary |
| 103TC1900X | Psychologist - Counseling | 011230 (New York) | Secondary |
| 103TF0000X | Psychologist - Family | 011230 (New York) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | 011230 (New York) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 011230 (New York) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Jamestown Psychiatric Pc | 0244314631 | 10 |
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 Frederick Verdonik allows following entities to bill medicare on his behalf.
| Entity Name | Upmc Chautauqua At Wca |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295033298
PECOS PAC ID: 4385630342
Enrollment ID: O20040423000846 |
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| Entity Name | Jamestown Psychiatric Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700062247
PECOS PAC ID: 0244314631
Enrollment ID: O20080225000063 |
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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 Frederick Verdonik 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 Frederick Verdonik, PHD
51 Glasgow Ave,
Jamestown, NY 14701-6413
Ph: (716) 664-8611 | Dr Frederick Verdonik, PHD
51 Glasgow Ave,
Jamestown, NY 14701-6413
Ph: (716) 664-8611 |
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