Mary E Spaulding, APSW - Medicare Clinical Social Worker in Manitowoc, WI

Mary E Spaulding, APSW is a medicare enrolled "Social Worker - Clinical" provider in Manitowoc, Wisconsin. Her current practice location is 3 Riverview Dr, Manitowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 645-1411.

Mary E Spaulding is licensed to practice in Wisconsin (license number 130124-121) 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 1023654829.

Contact Information

Mary E Spaulding, APSW
3 Riverview Dr,
Manitowoc, WI 54220-3767
(920) 645-1411
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMary E Spaulding
GenderFemale
SpecialitySocial Worker - Clinical
Location3 Riverview Dr, Manitowoc, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023654829
  • Provider Enumeration Date: 11/27/2019
  • Last Update Date: 11/27/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1658758164
  • Enrollment ID: I20220520002270

Medical Identifiers

Medical identifiers for Mary E Spaulding such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023654829NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 130124-121 (Wisconsin)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. Mary E Spaulding allows following entities to bill medicare on her behalf.
Entity NameCore Treatment Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659912319
PECOS PAC ID: 6608267430
Enrollment ID: O20220105000239

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. Mary E Spaulding 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 AddressPractice Location Address
Mary E Spaulding, APSW
3 Riverview Dr,
Manitowoc, WI 54220-3767

Ph: () -
Mary E Spaulding, APSW
3 Riverview Dr,
Manitowoc, WI 54220-3767

Ph: (920) 645-1411

Reviews and Comments


Social Worker in Manitowoc, WI

Ms. Karen A Berge, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1425 Memorial Dr, Manitowoc, WI 54221
Phone: 920-683-9500    Fax: 920-683-9588
Marianne E Webers, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 339 Reed Ave, Manitowoc, WI 54220
Phone: 920-320-8600    Fax: 920-380-8662
Mr. John R Schmidt, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1425 Memorial Dr, Manitowoc, WI 54221
Phone: 920-683-9500    Fax: 920-683-9588
Mrs. Susan Marie Schutz, LICSW CEAP
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 927a South 8th Street, Suite 300, Manitowoc, WI 54220
Phone: 920-684-6644    Fax: 920-684-1110
Sommer P Zabel, APSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 926 S 8th St, Manitowoc, WI 54220
Phone: 920-683-4923    
Thomas John Zakrzewski, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: Manitowoc County Human Services Department, 926 S 8th Street, Manitowoc, WI 54221
Phone: 920-683-4230    Fax: 920-720-3806

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.