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: July 19, 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
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

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

Secondary Practice Location 1

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

Accepted 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 2024 & 2026 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.

Neurological Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine
263 FARMINGTON AVE
FARMINGTON, CT 06030
Pathology (Anatomic Pathology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Psychiatry & Neurology (Psychiatry)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine (Gastroenterology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Dietitian, Registered
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine
263 FARMINGTON AVE
FARMINGTON, CT 06030
Nurse Anesthetist, Certified Registered
263 FARMINGTON AVE
FARMINGTON, CT 06030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699304121, enumerated as an "individual" on April 06, 2020.

The provider is located at 263 FARMINGTON AVE FARMINGTON, CT 06030 and the phone number is (860) 679-4733.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.

Brian Wasicek is affiliated with: EVERGREENHEALTH MEDICAL CENTER.