Willo Wisotsky, PHD in Commack, NY - Medicare Psychologist Provider

Willo Wisotsky, PHD is a medicare enrolled "Psychologist - Health" provider in Commack, New York. Her current practice location is 35 Crooked Hill Rd, Suite 203, Commack, New York. You can reach out to her office (for appointments etc.) via phone at (631) 804-8830.

Willo Wisotsky is licensed to practice in New York (license number 016173) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265679039.

Contact Information

	Willo Wisotsky, PHD
	35 Crooked Hill Rd, Suite 203, Commack, NY 11725-5415
	(631) 804-8830
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Willo Wisotsky
Gender	Female
Speciality	Psychologist - Health
Location	35 Crooked Hill Rd, Commack, 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: 1265679039
Provider Enumeration Date: 01/14/2009
Last Update Date: 09/06/2018

Medicare PECOS Information:

PECOS PAC ID: 7517135080
Enrollment ID: I20110728000110

Medical Identifiers

Medical identifiers for Willo Wisotsky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265679039	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TB0200X	Psychologist - Cognitive & Behavioral	016173 (New York)	Secondary
103TH0004X	Psychologist - Health	016173 (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. Willo Wisotsky allows following entities to bill medicare on her behalf.

Entity Name	New York Bariatric Surgery Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164898821 PECOS PAC ID: 4981045432 Enrollment ID: O20240515000299

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. Willo Wisotsky 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
Willo Wisotsky, PHD 35 Crooked Hill Rd, Commack, NY 11725-5415 Ph: (631) 804-8830	Willo Wisotsky, PHD 35 Crooked Hill Rd, Suite 203, Commack, NY 11725-5415 Ph: (631) 804-8830

Reviews and Comments

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Willo Wisotsky, PHD - Medicare Psychologist in Commack, NY