Dr Wladislaw G Fedoriw, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Seminole, Florida. He graduated from medical school in 2000 and has 26 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Florida Pain Relief Group Pllc, Advanced Pain Management Specialists and his current practice location is
10875 Park Blvd Ste C, Seminole, Florida. You can reach out to his office (for appointments etc.) via phone at
(727) 350-0453.
Dr Wladislaw G Fedoriw is licensed to practice in Florida (license number ME168754) 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 1477609899.
Physician's Profile
| Full Name | Dr Wladislaw G Fedoriw |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 26 Years |
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| Location | 10875 Park Blvd Ste C, Seminole, Florida |
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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. |
Medical Education and Training:
- Dr Wladislaw G Fedoriw graduated from medical school in 2000
NPI Data:
- NPI Number: 1477609899
- Provider Enumeration Date: 01/26/2007
- Last Update Date: 06/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 5395836738
- Enrollment ID: I20240609000053
Medical Identifiers
Medical identifiers for Dr Wladislaw G Fedoriw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477609899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207LP2900X | Anesthesiology - Pain Medicine | 35835 (Arizona) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | ME168754 (Florida) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 35835 (Arizona) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | ME168754 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Florida Pain Relief Group Pllc | 4688960271 | 67 |
| Advanced Pain Management Specialists | 9638161979 | 3 |
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 Wladislaw G Fedoriw allows following entities to bill medicare on his behalf.
| Entity Name | Advanced Pain Management Specialists |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215982665 PECOS PAC ID: 9638161979 Enrollment ID: O20040330000814 |
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| Entity Name | Park Center For Procedures Llc |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1992970230 PECOS PAC ID: 7911077599 Enrollment ID: O20080609000639 |
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| Entity Name | Florida Pain Relief Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376994608 PECOS PAC ID: 4688960271 Enrollment ID: O20160908000245 |
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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 Wladislaw G Fedoriw 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 Wladislaw G Fedoriw, MD 501 N Reo St, Tampa, FL 33609-1012 Ph: (813) 549-2134 | Dr Wladislaw G Fedoriw, MD 10875 Park Blvd Ste C, Seminole, FL 33772-5456 Ph: (727) 350-0453 |
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