Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Detlef Wencker, MD

Individual provider Cardiovascular Disease Physician · NPI 1285634881

Dr. Detlef Wencker, MD is a Cardiovascular Disease (Cardiology) in Tyler, Texas. Qualified in 1993, 33 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group and accepts Medicare assignment. Licensed in Kansas, Maryland and Texas.

Years since qualifying
33
Licensed in
KS, MD, TX
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone: (903) 595-5514
Fax: (903) 262-3715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Heart Failure and Transplant Cardiology Physician (primary) Taxonomy 207RA0001X · Licence R4343 (TX)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 04-36793 (KS)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence D00000 (MD)

Record details

NPI number1285634881
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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