Jacquelyn Wiman, LICSW in Omak, WA - Medicare Social Worker Provider

Jacquelyn Wiman, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Omak, Washington. Her current practice location is 1007 Koala Dr, Omak, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 826-6191.

Jacquelyn Wiman is licensed to practice in Washington (license number LW60293057) 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 1831574680.

Contact Information

	Jacquelyn Wiman, LICSW
	1007 Koala Dr, Omak, WA 98841-9247
	(509) 826-6191
	(509) 826-8416

Map and Direction

Healthcare Provider's Profile

Full Name	Jacquelyn Wiman
Gender	Female
Speciality	Social Worker - Clinical
Location	1007 Koala Dr, Omak, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831574680
Provider Enumeration Date: 07/22/2015
Last Update Date: 02/01/2024

Medicare PECOS Information:

PECOS PAC ID: 5193030963
Enrollment ID: I20150824000788

Medical Identifiers

Medical identifiers for Jacquelyn Wiman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831574680	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW60293057 (Washington)	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. Jacquelyn Wiman allows following entities to bill medicare on her behalf.

Entity Name	Okanogan Behavioral Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154324929 PECOS PAC ID: 6204828320 Enrollment ID: O20040331000186

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. Jacquelyn Wiman 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
Jacquelyn Wiman, LICSW 1007 Koala Dr, Omak, WA 98841-9247 Ph: (509) 826-6191	Jacquelyn Wiman, LICSW 1007 Koala Dr, Omak, WA 98841-9247 Ph: (509) 826-6191

Reviews and Comments

Social Worker in Omak, WA

Kathryn Powers, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 Koala Dr, Omak, WA 98841 Phone: 509-826-6191
Janice Bauer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 Koala Ave, Omak, WA 98841 Phone: 509-826-6191
Lena Lorraine Boyle, LICSWA Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 208 S Main St, Omak, WA 98841 Phone: 509-429-9521
Ms. Stacie Michelle Howard, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1007 Koala Dr, Omak, WA 98841 Phone: 509-826-8409 Fax: 509-826-3029
Barbara J Wallace, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 Koala Dr., Omak, WA 98841 Phone: 509-826-6191 Fax: 509-826-8416
Ms. Tessa Jolene Orozco, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 Koala Dr, Omak, WA 98841 Phone: 509-826-3029
Mr. Jason James Neely, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 529 Jasmine St, Omak, WA 98841 Phone: 509-826-1600

Jacquelyn Wiman, LICSW - Medicare Clinical Social Worker in Omak, WA