Kevin Walter Wieczenski, - Medicare Nurse Practitioner in Fonda, NY

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Kevin Walter Wieczenski, is a medicare enrolled "Nurse Practitioner - Family" in Fonda, New York. His current practice location is 46 E Main St, Fonda, New York. You can reach out to his office (for appointments etc.) via phone at (518) 773-5308.

Kevin Walter Wieczenski is licensed to practice in New York (license number 352281) 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 1811674278.

Contact Information

Kevin Walter Wieczenski,
46 E Main St,
Fonda, NY 12068-4821
(518) 773-5308
Not Available

Map and Direction




Provider's Profile

Full NameKevin Walter Wieczenski
GenderMale
SpecialityNurse Practitioner - Family
Location46 E Main St, Fonda, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811674278
  • Provider Enumeration Date: 06/28/2023
  • Last Update Date: 06/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799147617
  • Enrollment ID: I20230809002612

Medical Identifiers

Medical identifiers for Kevin Walter Wieczenski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811674278NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 352281 (New York)Primary

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. Kevin Walter Wieczenski allows following entities to bill medicare on his behalf.
Entity NameNathan Littauer Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073541850
PECOS PAC ID: 4183618101
Enrollment ID: O20040413000599

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. Kevin Walter Wieczenski 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 AddressPractice Location Address
Kevin Walter Wieczenski,
99 E State St,
Gloversville, NY 12078-1203

Ph: (518) 725-8621		Kevin Walter Wieczenski,
46 E Main St,
Fonda, NY 12068-4821

Ph: (518) 773-5308

Reviews and Comments


Nurse Practitioner Nurses in Fonda, NY

Mrs. Kristi Lc Searles, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 46 E Main St, Fonda, NY 12068
Phone: 518-853-3190    Fax: 518-853-3191
Kaitlyn Conway Dulski, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 46 E Main St, Fonda, NY 12068
Phone: 518-853-3190    
Vitina Ruffino-mosher, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 46 E Main St, Fonda, NY 12068
Phone: 518-853-3190    Fax: 518-853-3191

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.