Chad Leif Wysong, is a medicare enrolled "Social Worker - Clinical" provider in Maxwell, Texas. His current practice location is
159 Living Reef Dr, Maxwell, Texas. You can reach out to his office (for appointments etc.) via phone at
(301) 922-4615.
Chad Leif Wysong is licensed to practice in Texas (license number 66472) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083309769.
Healthcare Provider's Profile
Full Name | Chad Leif Wysong |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 159 Living Reef Dr, Maxwell, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083309769
- Provider Enumeration Date: 04/07/2023
- Last Update Date: 04/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 3476913245
- Enrollment ID: I20230712003374
Medical Identifiers
Medical identifiers for Chad Leif Wysong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083309769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 66472 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Chad Leif Wysong allows following entities to bill medicare on his behalf.
Entity Name | Family Care Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427786482 PECOS PAC ID: 5991064420 Enrollment ID: O20230606000587 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chad Leif Wysong is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Chad Leif Wysong, 159 Living Reef Dr, Maxwell, TX 78656-4423 Ph: (301) 922-4615 | Chad Leif Wysong, 159 Living Reef Dr, Maxwell, TX 78656-4423 Ph: (301) 922-4615 |
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