Kimberly Ann Wielgus, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Port Murray, New Jersey. Her current practice location is
27 Rockport Rd, Port Murray, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 377-9403.
Kimberly Ann Wielgus is licensed to practice in New Jersey (license number 44SC05812000) 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 1972234672.
Healthcare Provider's Profile
Full Name | Kimberly Ann Wielgus |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 27 Rockport Rd, Port Murray, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972234672
- Provider Enumeration Date: 06/22/2022
- Last Update Date: 06/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 1850758269
- Enrollment ID: I20230530003105
Medical Identifiers
Medical identifiers for Kimberly Ann Wielgus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972234672 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 44SC05812000 (New Jersey) | 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. Kimberly Ann Wielgus allows following entities to bill medicare on her behalf.
Entity Name | St Lukes Warren Physician Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467725184 PECOS PAC ID: 9739093675 Enrollment ID: O20031117000020 |
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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. Kimberly Ann Wielgus 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 |
Kimberly Ann Wielgus, LCSW 27 Rockport Rd, Port Murray, NJ 07865-4125 Ph: (908) 377-9403 | Kimberly Ann Wielgus, LCSW 27 Rockport Rd, Port Murray, NJ 07865-4125 Ph: (908) 377-9403 |
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