Clare Tucker Wildes, in Chicago, IL - Medicare Social Worker Provider

Clare Tucker Wildes, is a medicare enrolled "Social Worker - Clinical" provider in Chicago, Illinois. Her current practice location is 4250 N Marine Dr, Suite 236, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 404-0160.

Clare Tucker Wildes is licensed to practice in Illinois (license number 149009359) 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 1093040594.

Contact Information

	Clare Tucker Wildes,
	4250 N Marine Dr, Suite 236, Chicago, IL 60613-1744
	(773) 404-0160
	(773) 404-9876

Map and Direction

Healthcare Provider's Profile

Full Name	Clare Tucker Wildes
Gender	Female
Speciality	Social Worker - Clinical
Location	4250 N Marine Dr, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093040594
Provider Enumeration Date: 10/16/2009
Last Update Date: 10/19/2009

Medicare PECOS Information:

PECOS PAC ID: 9537356696
Enrollment ID: I20101215000507

Medical Identifiers

Medical identifiers for Clare Tucker Wildes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093040594	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149009359 (Illinois)	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. Clare Tucker Wildes allows following entities to bill medicare on her behalf.

Entity Name	The Thresholds
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669488029 PECOS PAC ID: 6204826647 Enrollment ID: O20040517000766

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. Clare Tucker Wildes 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
Clare Tucker Wildes, 4250 N Marine Dr, Suite 236, Chicago, IL 60613-1744 Ph: (773) 404-0160	Clare Tucker Wildes, 4250 N Marine Dr, Suite 236, Chicago, IL 60613-1744 Ph: (773) 404-0160

Reviews and Comments

Social Worker in Chicago, IL

Ms. Deborah Lee Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2820 W Peterson Ave, Chicago, IL 60659 Phone: 773-293-8437 Fax: 773-728-4751
Mrs. Melinda D Berry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8240 S Sacramento Ave, Chicago, IL 60652 Phone: 312-316-7977
Mr. Greg Rosen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1525 E 53rd St, #630, Chicago, IL 60615 Phone: 773-752-8808
Mrs. Imelda Gloria Ferreira, LCWS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4150 W. 55th Street, Chicago, IL 60632 Phone: 312-745-1566
Mr. John Anthony Knoerzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3850 W Sunnyside Ave, #304, Chicago, IL 60625 Phone: 773-234-1517
Aren M. Drehobl, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5756 N Ridge Ave Ste 10, Chicago, IL 60660 Phone: 773-263-4168
Ms. Aviva Cahn, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 333 N Michigan Ave, Suite 1801, Chicago, IL 60601 Phone: 773-301-8576

Clare Tucker Wildes, - Medicare Clinical Social Worker in Chicago, IL