Kayla Marie Wilderman, LMSW in Saint Johns, MI - Medicare Social Worker Provider

Kayla Marie Wilderman, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Saint Johns, Michigan. Her current practice location is 1505 Waterford Pkwy, Saint Johns, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 350-9453.

Kayla Marie Wilderman is licensed to practice in Michigan (license number 6801103361) 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 1700350774.

Contact Information

	Kayla Marie Wilderman, LMSW
	1505 Waterford Pkwy, Saint Johns, MI 48879-9630
	(989) 350-9453
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kayla Marie Wilderman
Gender	Female
Speciality	Social Worker - Clinical
Location	1505 Waterford Pkwy, Saint Johns, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700350774
Provider Enumeration Date: 01/14/2019
Last Update Date: 09/19/2024

Medicare PECOS Information:

PECOS PAC ID: 0547673717
Enrollment ID: I20210107000208

Medical Identifiers

Medical identifiers for Kayla Marie Wilderman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700350774	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801103361 (Michigan)	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. Kayla Marie Wilderman allows following entities to bill medicare on her behalf.

Entity Name	Thunder Bay Community Health Service Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629107552 PECOS PAC ID: 0143296772 Enrollment ID: O20040907000045

Entity Name	Edward W Sparrow Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033165790 PECOS PAC ID: 6709799166 Enrollment ID: O20050210000079

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. Kayla Marie Wilderman 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
Kayla Marie Wilderman, LMSW 1505 Waterford Pkwy, Saint Johns, MI 48879-9630 Ph: (989) 350-9453	Kayla Marie Wilderman, LMSW 1505 Waterford Pkwy, Saint Johns, MI 48879-9630 Ph: (989) 350-9453

Reviews and Comments

Social Worker in Saint Johns, MI

Michael Paul-david Cooper, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 201 W Railroad St, Suite A, Saint Johns, MI 48879 Phone: 989-224-5300 Fax: 517-346-8291
Hannah Love Frazier, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1505 Waterford Pkwy, Saint Johns, MI 48879 Phone: 989-292-3572
Menta Nichole Back, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1505 Waterford Pkwy, Saint Johns, MI 48879 Phone: 989-292-3572
Paige Victoria Pung, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1505 Waterford Pkwy, Saint Johns, MI 48879 Phone: 989-292-3572 Fax: 989-292-3952
Cynthia Carson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 E Sturgis St, Suite 3, Saint Johns, MI 48879 Phone: 989-224-6729 Fax: 989-224-2342
Christian Mcdaniel, CSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1000 E Sturgis St, Saint Johns, MI 48879 Phone: 989-224-5300 Fax: 517-346-8291
Elizabeth Purnell, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 S Us Highway 27, Saint Johns, MI 48879 Phone: 989-224-4700

Kayla Marie Wilderman, LMSW - Medicare Clinical Social Worker in Saint Johns, MI