BEVERLY WACZEK – Medical Physician Assistant, NPI 1629094131
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
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Provider Addresses for BEVERLY WACZEK
Church of God New Testament Church, 64, Robbins Street, West Side Hill, Waterbury, New Haven County, Connecticut, 06708, United States
WATERBURY, CT 067211589
Phone: (203) 573-6295
Fax: (203) 573-7613
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $344.
Total Amount is formed as General ($344) + Research ($0) + Ownership ($0) = $344.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Indivior Inc. ($91).
Total Amount
$344
General + Research + Ownership
Payments
14
Total payment records
General Amount
$344
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Indivior Inc. | $91 |
| Gilead Sciences, Inc. | $89 |
| Alkermes, Inc. | $87 |
| ABBVIE INC. | $45 |
| Neurocrine BioSciences Inc. | $32 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-02-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060224000214 | I | Physician Assistant | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06721)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist, Mental Health Counselor | NY | |
| Clinical Social Worker | IL | |
| Clinical Social Worker | CT | |
| Mental Health Counselor | CT | |
| Mental Health Counselor | NY | |
| Nurse Practitioner | CT | |
| Clinical Social Worker | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Clinical Social Worker | CT |
Reviews
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