Mr Desmon Wise, LMSW in Hamden, CT - Medicare Social Worker Provider

Mr Desmon Wise, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Hamden, Connecticut. His current practice location is 2553 Whitney Ave, Hamden, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 584-7971.

Mr Desmon Wise is licensed to practice in Connecticut (license number 4749) 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 1912581414.

Contact Information

	Mr Desmon Wise, LMSW
	2553 Whitney Ave, Hamden, CT 06518-3021
	(203) 584-7971
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Desmon Wise
Gender	Male
Speciality	Social Worker - Clinical
Location	2553 Whitney Ave, Hamden, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912581414
Provider Enumeration Date: 05/11/2021
Last Update Date: 05/11/2021

Medicare PECOS Information:

PECOS PAC ID: 1456746510
Enrollment ID: I20220328001745

Medical Identifiers

Medical identifiers for Mr Desmon Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912581414	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	4749 (Connecticut)	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. Mr Desmon Wise allows following entities to bill medicare on his behalf.

Entity Name	State Of Connecticut
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487689022 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000169

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. Mr Desmon Wise 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
Mr Desmon Wise, LMSW 281 Main St Apt C3, Farmington, CT 06032-2944 Ph: (860) 656-5491	Mr Desmon Wise, LMSW 2553 Whitney Ave, Hamden, CT 06518-3021 Ph: (203) 584-7971

Reviews and Comments

Social Worker in Hamden, CT

Mrs. Ashley Lauryn Mccray, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 90 Phelps Dr, Hamden, CT 06514 Phone: 203-843-6730
Ms. Ann Marie Senick, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2080 Whitney Ave, Hamden, CT 06518 Phone: 203-747-3480 Fax: 860-297-0931
Dr. Jeffrey Warren Summerville, PSY.D., LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 295 Washington Avenue, Suite 9, Hamden, CT 06518 Phone: 203-287-8227 Fax: 203-287-9502
Suzanne Serviss, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1844 Whitney Ave, Hamden, CT 06517 Phone: 203-494-8974 Fax: 203-288-2925
Jessica Adams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Evergreen Ave Ste 12, Hamden, CT 06518 Phone: 203-367-0220
Mr. Glenn F Xavier, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 299 Washington Ave, Hamden, CT 06518 Phone: 203-288-4288 Fax: 203-776-1982
Karissa Masotta, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 380 Hillfield Rd, Hamden, CT 06518 Phone: 203-640-8111

Mr Desmon Wise, LMSW - Medicare Clinical Social Worker in Hamden, CT