Randell Wilson, LCSW, LSCSW in Houston, TX - Medicare Social Worker Provider

Randell Wilson, LCSW, LSCSW is a medicare enrolled "Social Worker - Clinical" provider in Houston, Texas. His current practice location is 16602 Cold Harbor Ln, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (913) 206-1554.

Randell Wilson is licensed to practice in Texas (license number 58189) 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 1730260290.

Contact Information

	Randell Wilson, LCSW, LSCSW
	16602 Cold Harbor Ln, Houston, TX 77083-7204
	(913) 206-1554
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Randell Wilson
Gender	Male
Speciality	Social Worker - Clinical
Location	16602 Cold Harbor Ln, Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730260290
Provider Enumeration Date: 10/18/2006
Last Update Date: 06/13/2022

Medicare PECOS Information:

PECOS PAC ID: 2163658410
Enrollment ID: I20180531000687

Medical Identifiers

Medical identifiers for Randell Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730260290	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2001027963 (Missouri)	Secondary
1041C0700X	Social Worker - Clinical	2204 (Kansas)	Secondary
1041C0700X	Social Worker - Clinical	58189 (Texas)	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. Randell Wilson allows following entities to bill medicare on his behalf.

Entity Name	Texana Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912954058 PECOS PAC ID: 7618963265 Enrollment ID: O20040421000535

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. Randell Wilson 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
Randell Wilson, LCSW, LSCSW 16602 Cold Harbor Ln, Houston, TX 77083-7204 Ph: (913) 206-1554	Randell Wilson, LCSW, LSCSW 16602 Cold Harbor Ln, Houston, TX 77083-7204 Ph: (913) 206-1554

Reviews and Comments

Social Worker in Houston, TX

Ms. Kathleen P Fallon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6500 Chimney Rock Rd, Houston, TX 77081 Phone: 281-685-6921
Amy C Waldner, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1118 Cortlandt St # 2, Houston, TX 77008 Phone: 281-455-5359
Veronica Meza-hernandez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5104 Harrisburg Blvd, Ste 800, Houston, TX 77011 Phone: 832-667-4150 Fax: 833-853-9420
Ms. Juanita Annette Perry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10381 Huntington Place Dr, Houston, TX 77099 Phone: 832-607-9770
Thomas L Hambleton, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3100 Weslayan St Ste 350, Houston, TX 77027 Phone: 713-963-0769 Fax: 713-963-8536
Francisco Fuentes Ayala, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Branard St Fl 2, Houston, TX 77006 Phone: 713-529-0037
Vasavi Kanneganti, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9401 Southwest Fwy, Houston, TX 77074 Phone: 713-970-7000

Randell Wilson, LCSW, LSCSW - Medicare Clinical Social Worker in Houston, TX