Charrisse Leiana Wilson, LCSW in Bloomsburg, PA - Medicare Social Worker Provider

Charrisse Leiana Wilson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bloomsburg, Pennsylvania. Her current practice location is 211 E 1st St, Bloomsburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (718) 506-1115.

Charrisse Leiana Wilson is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639853013.

Contact Information

	Charrisse Leiana Wilson, LCSW
	211 E 1st St, Bloomsburg, PA 17815-1405
	(718) 506-1115
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Charrisse Leiana Wilson
Gender	Female
Speciality	Social Worker - Clinical
Location	211 E 1st St, Bloomsburg, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639853013
Provider Enumeration Date: 06/14/2023
Last Update Date: 06/14/2023

Medicare PECOS Information:

PECOS PAC ID: 7810356557
Enrollment ID: I20230628004494

Medical Identifiers

Medical identifiers for Charrisse Leiana Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639853013	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	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. Charrisse Leiana Wilson allows following entities to bill medicare on her behalf.

Entity Name	Supportive Care Of Pennsylvania Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174992275 PECOS PAC ID: 0143521211 Enrollment ID: O20151214002225

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. Charrisse Leiana Wilson 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
Charrisse Leiana Wilson, LCSW 27 Randolph Rd, Howell, NJ 07731-8611 Ph: (718) 506-1115	Charrisse Leiana Wilson, LCSW 211 E 1st St, Bloomsburg, PA 17815-1405 Ph: (718) 506-1115

Reviews and Comments

Social Worker in Bloomsburg, PA

Michael Spears, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 549 Fair St, Bloomsburg, PA 17815 Phone: 570-387-2432
Ardie Kissinger, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 457 Ridge St, Bloomsburg, PA 17815 Phone: 570-356-2206
Charles Guy Massaro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 E Main St, Bloomsburg, PA 17815 Phone: 570-951-6799
Marika Handakas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 141 Market St, Bloomsburg, PA 17815 Phone: 570-387-8330
Ms. Trudy L Frace, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 816 Central Rd, Bloomsburg, PA 17815 Phone: 570-387-1832 Fax: 570-387-5103
Cindy A Prosseda, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6850 Lowes Road, Bloomsburg, PA 17815 Phone: 570-772-3372
Nicole Iacovoni, LCSW, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 214 Center St, Bloomsburg, PA 17815 Phone: 570-336-9921

Charrisse Leiana Wilson, LCSW - Medicare Clinical Social Worker in Bloomsburg, PA