Ms Vanessa Diana Statam, LCSW in Madison, WI - Medicare Social Worker Provider

Ms Vanessa Diana Statam, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Madison, Wisconsin. Her current practice location is 2701 International Ln Ste 201, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 268-6530.

Ms Vanessa Diana Statam is licensed to practice in Wisconsin (license number 9892-123) 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 1659926509.

Contact Information

	Ms Vanessa Diana Statam, LCSW
	2701 International Ln Ste 201, Madison, WI 53704-3126
	(608) 268-6530
	(608) 709-1744

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Vanessa Diana Statam
Gender	Female
Speciality	Social Worker - Clinical
Location	2701 International Ln Ste 201, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659926509
Provider Enumeration Date: 08/07/2019
Last Update Date: 09/04/2024

Medicare PECOS Information:

PECOS PAC ID: 8628492220
Enrollment ID: I20200715002149

Medical Identifiers

Medical identifiers for Ms Vanessa Diana Statam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659926509	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	9892-123 (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. Ms Vanessa Diana Statam allows following entities to bill medicare on her behalf.

Entity Name	Anesis Center For Marriage And Family Therapy
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720586761 PECOS PAC ID: 8628491297 Enrollment ID: O20200715001056

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 Vanessa Diana Statam 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 Vanessa Diana Statam, LCSW 815 Forward Drive, Madison, WI 53711-2443 Ph: (608) 268-6530	Ms Vanessa Diana Statam, LCSW 2701 International Ln Ste 201, Madison, WI 53704-3126 Ph: (608) 268-6530

Reviews and Comments

Social Worker in Madison, WI

Ms. Leah Allison Finch, CAPSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 Overlook Ter, Madison, WI 53705 Phone: 608-256-1901
Victoria Rose Dietz, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 133 S Butler St Ste 106, Madison, WI 53703 Phone: 608-218-1440
Mr. Thomas A Oconnor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5534 Medical Circle, Madison, WI 53719 Phone: 608-274-0355 Fax: 608-274-5546
Ms. Fran L Degraff, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2727 Marshall Ct, Madison, WI 53705 Phone: 608-238-9354 Fax: 608-238-7675
Thorsten W. Horton, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 Ray O Vac Dr, Suite 220, Madison, WI 53711 Phone: 608-276-9191 Fax: 608-276-9144
Jennifer J Ebbott, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 831 E Washington Ave, Madison, WI 53703 Phone: 608-255-7356
Erin Thomson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Highland Ave, Room 102, Madison, WI 53705 Phone: 608-263-5815

Ms Vanessa Diana Statam, LCSW - Medicare Clinical Social Worker in Madison, WI