Matthew J Wadsworth, LCSW in Fort Hall, ID - Medicare Social Worker Provider

Matthew J Wadsworth, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Hall, Idaho. His current practice location is 717 Mission Road, Fort Hall, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 237-5631.

Matthew J Wadsworth is licensed to practice in Idaho (license number LCSW-31281) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972759017.

Contact Information

	Matthew J Wadsworth, LCSW
	717 Mission Road, Fort Hall, ID 83203-0306
	(208) 237-5631
	(208) 237-5796

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew J Wadsworth
Gender	Male
Speciality	Social Worker - Clinical
Location	717 Mission Road, Fort Hall, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972759017
Provider Enumeration Date: 08/08/2008
Last Update Date: 01/09/2013

Medicare PECOS Information:

PECOS PAC ID: 4981733516
Enrollment ID: I20161219000337

Medical Identifiers

Medical identifiers for Matthew J Wadsworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972759017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-31281 (Idaho)	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. Matthew J Wadsworth allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477563344 PECOS PAC ID: 0547152217 Enrollment ID: O20040326001151

Entity Name	City Of Valdez
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962525097 PECOS PAC ID: 9931261005 Enrollment ID: O20081224000150

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. Matthew J Wadsworth 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
Matthew J Wadsworth, LCSW Po Box 306, Fort Hall, ID 83203-0306 Ph: (208) 237-5631	Matthew J Wadsworth, LCSW 717 Mission Road, Fort Hall, ID 83203-0306 Ph: (208) 237-5631

Reviews and Comments

Social Worker in Fort Hall, ID

Akaila Martin, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 N Mission Road #240, Fort Hall, ID 83203 Phone: 208-478-4026 Fax: 208-478-4022
Mr. Thayne Andersen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 717 Mission Road, Fort Hall, ID 83203 Phone: 208-237-5631 Fax: 208-237-5796
Daniel Jerome Hall, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 717 Mission Road, Fort Hall, ID 83203 Phone: 208-237-5631 Fax: 208-237-5796
Ms. Shari L. Newsome, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Mission Road Building 248, Fort Hall Indian Agency, Fort Hall, ID 83203 Phone: 208-237-5631 Fax: 208-237-5796
Jessie A Bacon, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Mission Road Blding 248, Fort Hall Indian Agency, Fort Hall, ID 83203 Phone: 208-237-5631 Fax: 208-237-5796
Ms. Kristy Lee Broncho, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Mission Road Blding 248, Fort Hall Indian Agency, Fort Hall, ID 83203 Phone: 208-237-5631 Fax: 208-237-5796

Matthew J Wadsworth, LCSW - Medicare Clinical Social Worker in Fort Hall, ID