Kelley Susan Wiese, MSW in Midland, MI - Medicare Social Worker Provider

Kelley Susan Wiese, MSW is a medicare enrolled "Social Worker - Clinical" provider in Midland, Michigan. Her current practice location is 612 Corvus Dr, Midland, Michigan. You can reach out to her office (for appointments etc.) via phone at (614) 805-2930.

Kelley Susan Wiese is licensed to practice in Michigan (license number 6801103963) 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 1194385633.

Contact Information

	Kelley Susan Wiese, MSW
	612 Corvus Dr, Midland, MI 48642-8111
	(614) 805-2930
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelley Susan Wiese
Gender	Female
Speciality	Social Worker - Clinical
Location	612 Corvus Dr, Midland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194385633
Provider Enumeration Date: 06/17/2019
Last Update Date: 06/17/2019

Medicare PECOS Information:

PECOS PAC ID: 1557728094
Enrollment ID: I20230527000188

Medical Identifiers

Medical identifiers for Kelley Susan Wiese such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194385633	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801103963 (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. Kelley Susan Wiese allows following entities to bill medicare on her behalf.

Entity Name	Community Mental Health For Central Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881622892 PECOS PAC ID: 4688660533 Enrollment ID: O20040424000125

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. Kelley Susan Wiese 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
Kelley Susan Wiese, MSW 612 Corvus Dr, Midland, MI 48642-8111 Ph: () -	Kelley Susan Wiese, MSW 612 Corvus Dr, Midland, MI 48642-8111 Ph: (614) 805-2930

Reviews and Comments

Social Worker in Midland, MI

Shelly M Vallee, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1714 Eastman Ave, Midland, MI 48640 Phone: 989-631-5390
Dr. Carl Robert Gillett, LPC, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5800 Eastman Ave, Suite 201, Midland, MI 48640 Phone: 989-631-9145 Fax: 989-631-9145
Mrs. Jennifer Lynn Williamson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4604 N Saginaw Rd, Midland, MI 48640 Phone: 616-363-2200
Ms. Jamie Lyn Garrett, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3611 N Saginaw Rd, Midland, MI 48640 Phone: 989-631-2320
Ms. Anne Marie Brooks, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4604 N Saginaw Rd Ste K, Midland, MI 48640 Phone: 989-284-4449
Cheryl A Berry, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4611 Campus Ridge Dr, Midland, MI 48640 Phone: 989-839-3500 Fax: 989-839-3344
Ms. Della Wade, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 218 Fast Ice Dr, Midland, MI 48642 Phone: 989-631-2320 Fax: 989-631-3343

Kelley Susan Wiese, MSW - Medicare Clinical Social Worker in Midland, MI