Dr Wallace Brent Bzdell, EDD is a
Psychologist based in Scotia, New York. Dr Wallace Brent Bzdell is licensed to practice in New York (license number 015981-1) and his current practice location is
7 Somerset Ln, Scotia, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 330-4753.
NPI number for Dr Wallace Brent Bzdell is 1720600158 and his current mailing address is 7 Somerset Ln, Scotia, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720600158.
Healthcare Provider's Profile
| Full Name | Dr Wallace Brent Bzdell |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 7 Somerset Ln, Scotia, 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: 1720600158
- Provider Enumeration Date: 05/07/2020
- Last Update Date: 05/07/2020
Medical Identifiers
Medical identifiers for Dr Wallace Brent Bzdell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720600158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 015981-1 (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. Dr Wallace Brent Bzdell 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 |
|---|
Dr Wallace Brent Bzdell, EDD
7 Somerset Ln,
Scotia, NY 12302-2718
Ph: (518) 330-4753 | Dr Wallace Brent Bzdell, EDD
7 Somerset Ln,
Scotia, NY 12302-2718
Ph: (518) 330-4753 |
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