Dr Timothy James Wisniewski, PHD in Albany, NY - Medicare Psychologist Provider

Dr Timothy James Wisniewski, PHD is a medicare enrolled "Psychologist - Forensic" provider in Albany, New York. His current practice location is 845 Central Ave Ste 1, Albany, New York. You can reach out to his office (for appointments etc.) via phone at (518) 729-3953.

Dr Timothy James Wisniewski is licensed to practice in New York (license number 017817) 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 1154959963.

Contact Information

	Dr Timothy James Wisniewski, PHD
	845 Central Ave Ste 1, Albany, NY 12206-1514
	(518) 729-3953
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Timothy James Wisniewski
Gender	Male
Speciality	Psychologist - Forensic
Location	845 Central Ave Ste 1, Albany, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154959963
Provider Enumeration Date: 03/28/2020
Last Update Date: 03/28/2020

Medicare PECOS Information:

PECOS PAC ID: 7719399815
Enrollment ID: I20201221002393

Medical Identifiers

Medical identifiers for Dr Timothy James Wisniewski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154959963	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TA0400X	Psychologist - Addiction (substance Use Disorder)	017817 (New York)	Secondary
103TA0700X	Psychologist - Adult Development & Aging	017817 (New York)	Secondary
103TB0200X	Psychologist - Cognitive & Behavioral	017817 (New York)	Secondary
103TC0700X	Psychologist - Clinical	017817 (New York)	Secondary
103TF0000X	Psychologist - Family	017817 (New York)	Secondary
103TP2701X	Psychologist - Group Psychotherapy	017817 (New York)	Secondary
103TF0200X	Psychologist - Forensic	017817 (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. Dr Timothy James Wisniewski allows following entities to bill medicare on his behalf.

Entity Name	New Paradigm Psychological Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215559125 PECOS PAC ID: 4183036288 Enrollment ID: O20201215000230

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 Timothy James Wisniewski 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 Timothy James Wisniewski, PHD 845 Central Ave Ste 1, Albany, NY 12206-1514 Ph: (518) 729-3953	Dr Timothy James Wisniewski, PHD 845 Central Ave Ste 1, Albany, NY 12206-1514 Ph: (518) 729-3953

Reviews and Comments

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Dr Timothy James Wisniewski, PHD - Medicare Psychologist in Albany, NY