Hazel Wilcox, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mammoth Spring, Arkansas. Her current practice location is
325 South 12th Street, Mammoth Spring, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 625-0273.
Hazel Wilcox is licensed to practice in Arkansas (license number 7386-C) 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 1255764312.
Healthcare Provider's Profile
Full Name | Hazel Wilcox |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 325 South 12th Street, Mammoth Spring, Arkansas |
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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: 1255764312
- Provider Enumeration Date: 08/13/2013
- Last Update Date: 08/24/2018
Medicare PECOS Information:
- PECOS PAC ID: 6204262066
- Enrollment ID: I20200214001228
Medical Identifiers
Medical identifiers for Hazel Wilcox such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255764312 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 7386-C (Arkansas) | 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. Hazel Wilcox allows following entities to bill medicare on her behalf.
Entity Name | Transforming Lives Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477079325 PECOS PAC ID: 4587090113 Enrollment ID: O20200130000931 |
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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. Hazel Wilcox 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 |
Hazel Wilcox, LCSW Po Box 1134, Mammoth Spring, AR 72554-1134 Ph: (870) 625-0273 | Hazel Wilcox, LCSW 325 South 12th Street, Mammoth Spring, AR 72554 Ph: (870) 625-0273 |
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