Ms Tracy L Pequignot, LCSW in Wellsboro, PA - Medicare Clinical Social Worker Provider

Ms Tracy L Pequignot, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Wellsboro, Pennsylvania. She graduated from medical school in 1995 and has 30 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 7095 Route 287, Wellsboro, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 724-5272.

Ms Tracy L Pequignot is licensed to practice in Pennsylvania (license number CW015745) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639340300.

Contact Information

	Ms Tracy L Pequignot, LCSW
	7095 Route 287, Wellsboro, PA 16901
	(570) 724-5272
	(570) 724-4512

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Tracy L Pequignot
Gender	Female
Speciality	Clinical Social Worker
Experience	30 Years
Location	7095 Route 287, Wellsboro, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Tracy L Pequignot graduated from medical school in 1995

NPI Data:

NPI Number: 1639340300
Provider Enumeration Date: 03/20/2008
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1254651938
Enrollment ID: I20150520001324

Medical Identifiers

Medical identifiers for Ms Tracy L Pequignot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639340300	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CW015745 (Pennsylvania)	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. Ms Tracy L Pequignot allows following entities to bill medicare on her behalf.

Entity Name	Harbor Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699754424 PECOS PAC ID: 3779856786 Enrollment ID: O20170913000721

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. Ms Tracy L Pequignot 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
Ms Tracy L Pequignot, LCSW 7095 Route 287, Po Box 685, Wellsboro, PA 16901-6711 Ph: (570) 724-5272	Ms Tracy L Pequignot, LCSW 7095 Route 287, Wellsboro, PA 16901 Ph: (570) 724-5272

Reviews and Comments

Social Worker in Wellsboro, PA

William Douglas Chancellor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 West Ave, Wellsboro, PA 16901 Phone: 570-723-0620 Fax: 570-724-0675
Tyler O Benelli, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 114 East Ave, Wellsboro, PA 16901 Phone: 570-723-0620 Fax: 570-724-0675
Alyssa Hoffman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 114 East Ave, Wellsboro, PA 16901 Phone: 570-723-0620 Fax: 570-724-0675
Susan Groover-van Pelt, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 62 Plaza Ln, Wellsboro, PA 16901 Phone: 570-724-7142 Fax: 570-724-6771
Richard Hayford, MS, BSL Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 62 Plaza Ln, Wellsboro, PA 16901 Phone: 570-724-7142 Fax: 570-724-6771
Mrs. Lori A Makos, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 114 East Ave, Wellsboro, PA 16901 Phone: 570-723-0620 Fax: 570-724-0675
Erika Peterson, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 62 Plaza Ln, Wellsboro, PA 16901 Phone: 570-724-7142 Fax: 570-724-6771

Ms Tracy L Pequignot, LCSW - Medicare Clinical Social Worker in Wellsboro, PA