BEVERLY WACZEK
NPI 1629094131
Physician Assistant - Medical in Waterbury, CT

Active since July 15, 2006PECOS EnrolledAccepts Medicare Assignment
64 ROBBINS ST, WATERBURY, CT 06708(203) 573-6295(203) 573-7613 Get Directions Write a Review

NPPES record last updated: January 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beverly Waczek NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY WACZEK (NPI 1629094131) is an individual medical provider in Waterbury, Connecticut, licensed in Connecticut (001477) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1629094131
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBEVERLY WACZEK
Location Address64 ROBBINS STWaterbury, CT 06708-2613
Mailing Address64 Robbins StWaterbury, CT 06721-1589 · (203) 573-6295 · Fax (203) 573-7613
Fax(203) 573-7613
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 15, 2006
Last NPPES UpdateJanuary 8, 2008
NPI 1629094131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CT · 001477
64 ROBBINS ST, Waterbury, CT 06708

Other Identifiers 1

Medicare UPINQ64320CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Beverly Waczek is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072529239
PECOS Enrollment IDI20060224000214
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
64 ROBBINS ST
WATERBURY, CT 06708
Hospitalist
64 ROBBINS ST
WATERBURY, CT 06708
Student in an Organized Health Care Education/Training Program
64 ROBBINS ST
WATERBURY, CT 06708
Counselor (Professional)
64 ROBBINS ST, CRISIS CENTER
WATERBURY, CT 06708
Student in an Organized Health Care Education/Training Program
64 ROBBINS ST
WATERBURY, CT 06708
Physician Assistant
64 ROBBINS ST
WATERBURY, CT 06708
Anesthesiology
64 ROBBINS ST
WATERBURY, CT 06708
Psychiatry & Neurology (Psychiatry)
64 ROBBINS ST
WATERBURY, CT 06708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Waczek's NPI number?

The NPI number for Beverly Waczek is 1629094131. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Beverly Waczek located?

Beverly Waczek practices at 64 Robbins St, Waterbury, CT 06708. The listed phone number is (203) 573-6295.

What is Beverly Waczek's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Beverly Waczek enrolled in Medicare?

Yes. Beverly Waczek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Beverly Waczek was last updated on January 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.