Dr Thaddeus Wilson Herliczek, MD in Warwick, RI - Medicare Diagnostic Radiology

Dr Thaddeus Wilson Herliczek, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Warwick, Rhode Island. He went to University Of Massachusetts Medical School and graduated in 2002 and has 22 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Rhode Island Medical Imaging and his current practice location is 125 Metro Center Blvd Ste 2000, Warwick, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 432-2520.

Dr Thaddeus Wilson Herliczek is licensed to practice in Rhode Island (license number 12603) 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 1053457721.

Contact Information

	Dr Thaddeus Wilson Herliczek, MD
	125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785
	(401) 432-2520
	(401) 453-8220

Map and Direction

Physician's Profile

Full Name	Dr Thaddeus Wilson Herliczek
Gender	Male
Speciality	Diagnostic Radiology
Experience	22 Years
Location	125 Metro Center Blvd Ste 2000, Warwick, Rhode Island
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Thaddeus Wilson Herliczek attended and graduated from University Of Massachusetts Medical School in 2002

NPI Data:

NPI Number: 1053457721
Provider Enumeration Date: 01/30/2007
Last Update Date: 03/21/2019

Medicare PECOS Information:

PECOS PAC ID: 5395818413
Enrollment ID: I20080723000523

Medical Identifiers

Medical identifiers for Dr Thaddeus Wilson Herliczek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053457721	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	12603 (Rhode Island)	Primary
2085R0202X	Radiology - Diagnostic Radiology	214342 (Massachusetts)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Miriam Hospital	Providence, RI	Hospital
Rhode Island Hospital	Providence, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rhode Island Medical Imaging	8022097815	108

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 Thaddeus Wilson Herliczek allows following entities to bill medicare on his behalf.

Entity Name	Rhode Island Medical Imaging
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205874930 PECOS PAC ID: 8022097815 Enrollment ID: O20040715000832

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 Thaddeus Wilson Herliczek 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 Thaddeus Wilson Herliczek, MD 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 Ph: (401) 432-2520	Dr Thaddeus Wilson Herliczek, MD 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 Ph: (401) 432-2520

Reviews and Comments

Radiology Doctors in Warwick, RI

Marcelle L Piccolello, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 125 Metro Center Blvd Ste 2000, Warwick, RI 02886 Phone: 401-432-2520 Fax: 401-453-8220
David W Rowe, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7010
Dr. Anthony G Bruzzese, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Toll Gate Rd, Ste 101a, Warwick, RI 02886 Phone: 401-738-3100 Fax: 401-738-8505
Dr. Robert C Ward, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 125 Metro Center Blvd Ste 2000, Warwick, RI 02886 Phone: 401-432-2500 Fax: 401-453-8220
Glenn A Tung, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 125 Metro Center Blvd Ste 2000, Warwick, RI 02886 Phone: 401-432-2520 Fax: 401-453-8220
Jeffrey D Potter, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 31 Bay Lawn Ave, Warwick, RI 02888 Phone: 401-941-6162

Dr Thaddeus Wilson Herliczek, MD - Medicare Diagnostic Radiology in Warwick, RI