Emily Wickman, in Portland, CT - Medicare Social Worker Provider

Emily Wickman, is a medicare enrolled "Social Worker - Clinical" provider in Portland, Connecticut. Her current practice location is 22 Belle Vista Hts, Portland, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 997-6679.

Emily Wickman is licensed to practice in Connecticut (license number 4680) 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 1740931856.

Contact Information

	Emily Wickman,
	22 Belle Vista Hts, Portland, CT 06480-1672
	(860) 997-6679
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Emily Wickman
Gender	Female
Speciality	Social Worker - Clinical
Location	22 Belle Vista Hts, Portland, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740931856
Provider Enumeration Date: 01/11/2022
Last Update Date: 01/11/2022

Medicare PECOS Information:

PECOS PAC ID: 1850748724
Enrollment ID: I20231114003266

Medical Identifiers

Medical identifiers for Emily Wickman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740931856	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	4680 (Connecticut)	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. Emily Wickman allows following entities to bill medicare on her behalf.

Entity Name	Psychological Health & Development Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144519968 PECOS PAC ID: 6103129333 Enrollment ID: O20160122000307

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. Emily Wickman 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
Emily Wickman, 22 Belle Vista Hts, Portland, CT 06480-1672 Ph: () -	Emily Wickman, 22 Belle Vista Hts, Portland, CT 06480-1672 Ph: (860) 997-6679

Reviews and Comments

Social Worker in Portland, CT

Lauren A. Pisano, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3 Quarry Ln, Portland, CT 06480 Phone: 860-381-9692
Julie Pratt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Culver Ln, Portland, CT 06480 Phone: 413-218-3480
Ms. Tracy Santos Morales, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1 Dogwood Dr, Portland, CT 06480 Phone: 860-377-5358
Lindsey Arcand, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Coe Avenue Ext, Portland, CT 06480 Phone: 860-550-4526
Mr. Robert R. Malafronte, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 553 Portland Cobalt Rd, Portland, CT 06480 Phone: 860-342-0760 Fax: 860-342-4226
Miss Susan Mary Gubilee, MS, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 Russell Ave, Portland, CT 06480 Phone: 860-342-4079

Emily Wickman, - Medicare Clinical Social Worker in Portland, CT