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BRIAN WASICEK
NPI 1699304121
Student in an Organized Health Care Education/Training Program in Farmington, CT

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment
263 FARMINGTON AVE, FARMINGTON, CT 06030(860) 679-4733 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 10, 2022, Apr 6, 2020 (2 updates tracked since 2020).

About Brian Wasicek NPPES

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

BRIAN WASICEK (NPI 1699304121) is an individual student in an organized health care education/training program in Farmington, Connecticut and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Medical Center, and maintains a secondary practice location in Norwich.

NPPES Registry Identity

NPI1699304121
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRIAN WASICEK
Location Address263 FARMINGTON AVEFarmington, CT 06030-1410
Mailing Address263 Farmington AveFarmington, CT 06030-1410 · (860) 679-4733
Phone(860) 679-4733
Sole ProprietorNo
Medical School CMSF H Netter, M.d. School Of Med At Quinnipiac UnivGraduated 2020
Enumeration DateApril 6, 2020
Last NPPES UpdateNovember 10, 20222 updates tracked since enumeration
NPPES CertifiedNovember 10, 2022
✔ NPI 1699304121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 72791 (CT)
263 FARMINGTON AVE, Farmington, CT 06030
Open in Google Maps ↗

Secondary Practice Location 1

Location 1326 Washington StNorwich, CT 06360-2740 · Phone (860) 889-8331

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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

Brian Wasicek 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 ID5294104667
PECOS Enrollment IDI20240821002340
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
43 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

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.

STATE OF CONNECTICUT HEALTH CENTER
Pathology (Anatomic Pathology & Clinical Pathology)
263 FARMINGTON AVE, LABORATORY HBP GROUP
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-7503
MR. IAN THOMAS MCNEILL
Neurological Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-8080
DR. LUIS CHAVEZ DE PAZ DDS, MS, PHD
Dentist (Endodontics)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2719
TARUNYA REDDY VEDERE
Internal Medicine (Endocrinology, Diabetes & Metabolism)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3245
ZACHARY TALLENT SOLOMON
Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3467
MICHAEL CONNOLLY
Psychiatry & Neurology (Psychiatry)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4733
EMILY WENG DO
Internal Medicine (Gastroenterology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3158
ANDREW KEMERLEY DO
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3467

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 Brian Wasicek's NPI number?

The NPI number for Brian Wasicek is 1699304121. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Brian Wasicek located?

Brian Wasicek practices at 263 Farmington Ave, Farmington, CT 06030. The listed phone number is (860) 679-4733.

What is Brian Wasicek's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brian Wasicek enrolled in Medicare?

Yes. Brian Wasicek 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.

What insurance does Brian Wasicek accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Brian Wasicek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brian Wasicek affiliated with any hospitals?

According to CMS data, Brian Wasicek is affiliated with Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Wasicek was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.