Edwin Bacalso, is a
Social Worker - Clinical based in Thiensville, Wisconsin. Edwin Bacalso is licensed to practice in Wisconsin (license number 131474-121) and his current practice location is
13111 N Port Washington Rd, Thiensville, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 243-6127.
NPI number for Edwin Bacalso is 1023661659 and his current mailing address is 5215 N Ironwood Rd, Suite 202 Pmb 1013, Glendale, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023661659.
Healthcare Provider's Profile
Full Name | Edwin Bacalso |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 13111 N Port Washington Rd, Thiensville, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023661659
- Provider Enumeration Date: 07/23/2019
- Last Update Date: 05/07/2024
Medical Identifiers
Medical identifiers for Edwin Bacalso such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023661659 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 131474-121 (Wisconsin) | Primary |
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. Edwin Bacalso is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Edwin Bacalso, 5215 N Ironwood Rd, Suite 202 Pmb 1013, Glendale, WI 53217-2416 Ph: (414) 367-4447 | Edwin Bacalso, 13111 N Port Washington Rd, Thiensville, WI 53097-2416 Ph: (262) 243-6127 |
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