Heather Waddle, in Represa, CA - Medicare Social Worker Provider

Heather Waddle, is a medicare enrolled "Social Worker - Clinical" provider in Represa, California. Her current practice location is 100 Prison Rd, Represa, California. You can reach out to her office (for appointments etc.) via phone at (916) 985-8610.

Heather Waddle is licensed to practice in California (license number 61475) 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 1457763518.

Contact Information

	Heather Waddle,
	100 Prison Rd, Represa, CA 95671-3000
	(916) 985-8610
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Heather Waddle
Gender	Female
Speciality	Social Worker - Clinical
Location	100 Prison Rd, Represa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457763518
Provider Enumeration Date: 05/23/2014
Last Update Date: 05/04/2022

Medicare PECOS Information:

PECOS PAC ID: 1456739796
Enrollment ID: I20220527001512

Medical Identifiers

Medical identifiers for Heather Waddle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457763518	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	61475 (California)	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. Heather Waddle allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Heather Waddle 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
Heather Waddle, Po Box 290002, Represa, CA 95671-0002 Ph: (916) 985-8610	Heather Waddle, 100 Prison Rd, Represa, CA 95671-3000 Ph: (916) 985-8610

Reviews and Comments

Social Worker in Represa, CA

Ms. Susan Donell Raybourn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 916-985-8610
Ms. Violka Wanie, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 916-985-8610
Regina White, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Csp Sacramento Mhsds Regina White, 100 Prison Road, Represa, CA 95671 Phone: 916-985-8610
Mrs. Valerie Jean Pearson-bryant, MSW, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 916-985-8610
Miss Daniela Coppin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 916-986-8610
Ms. Jamie Costello Kenwood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Prison Rd, California State Prison Sacramento, Represa, CA 95670 Phone: 916-324-6317 Fax: 916-294-3195
Mr. George Gordon Mitchell Ii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 916-985-8610

Heather Waddle, - Medicare Clinical Social Worker in Represa, CA