Jeffrey Scott Widner, LICSW in Bemidji, MN - Medicare Social Worker Provider

Jeffrey Scott Widner, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Bemidji, Minnesota. His current practice location is 403 4th St Nw Ste 115, Bemidji, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 214-9389.

Jeffrey Scott Widner is licensed to practice in Minnesota (license number 29410) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114668829.

Contact Information

	Jeffrey Scott Widner, LICSW
	403 4th St Nw Ste 115, Bemidji, MN 56601-3155
	(218) 214-9389
	(218) 517-2034

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffrey Scott Widner
Gender	Male
Speciality	Social Worker - Clinical
Location	403 4th St Nw Ste 115, Bemidji, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114668829
Provider Enumeration Date: 04/05/2022
Last Update Date: 05/31/2024

Medicare PECOS Information:

PECOS PAC ID: 0446623540
Enrollment ID: I20230309002067

Medical Identifiers

Medical identifiers for Jeffrey Scott Widner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114668829	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	11755-123 (Wisconsin)	Secondary
1041C0700X	Social Worker - Clinical	29410 (Minnesota)	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. Jeffrey Scott Widner allows following entities to bill medicare on his behalf.

Entity Name	I Am Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215601422 PECOS PAC ID: 2365826740 Enrollment ID: O20220902001421

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. Jeffrey Scott Widner 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
Jeffrey Scott Widner, LICSW 403 4th St Nw Ste 115, Bemidji, MN 56601-3155 Ph: (218) 214-9389	Jeffrey Scott Widner, LICSW 403 4th St Nw Ste 115, Bemidji, MN 56601-3155 Ph: (218) 214-9389

Reviews and Comments

Social Worker in Bemidji, MN

Sahgahsega Merseth, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Bemidji Ave N, Bemidji, MN 56601 Phone: 218-308-2400
Abbey Bohlman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 519 Anne St Nw Ste B, Bemidji, MN 56601 Phone: 218-444-2845
Jennifer J Pirkl, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1300 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-5000 Fax: 218-444-2847
Geri C Wilimek, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 514 Beltrami Ave Nw Ste 102, Bemidji, MN 56601 Phone: 218-209-8234
Mrs. Kimberly Jean Sletta Avenson, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 722 15th Street N.w., Bemidji, MN 56619 Phone: 218-751-3280 Fax: 218-751-3298
Vanessa Marie Wananu, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1426 Bemidji Ave N Ste 1, Bemidji, MN 56601 Phone: 218-444-2233 Fax: 218-237-2520

Jeffrey Scott Widner, LICSW - Medicare Clinical Social Worker in Bemidji, MN