Maryam James, LCSW, CSAC, ICS is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Waukesha, Wisconsin. Her current practice location is
514 Riverview Ave, Waukesha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 548-7666.
Maryam James is licensed to practice in Wisconsin (license number 17144) 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 1679940027.
Healthcare Provider's Profile
| Full Name | Maryam James |
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| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 514 Riverview Ave, Waukesha, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679940027
- Provider Enumeration Date: 09/01/2015
- Last Update Date: 08/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830472596
- Enrollment ID: I20170203001994
Medical Identifiers
Medical identifiers for Maryam James such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679940027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 129495 (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17144 (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. Maryam James allows following entities to bill medicare on her behalf.
| Entity Name | County Of Waukesha Department Of Finance |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740403146
PECOS PAC ID: 3971405481
Enrollment ID: O20040124000130 |
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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. Maryam James 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 |
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Maryam James, LCSW, CSAC, ICS
514 Riverview Ave,
Waukesha, WI 53188-3631
Ph: (262) 548-7666 | Maryam James, LCSW, CSAC, ICS
514 Riverview Ave,
Waukesha, WI 53188-3631
Ph: (262) 548-7666 |
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