Stephanie Gudmunsen, LCSW in West Bend, WI - Medicare Social Worker Provider

Stephanie Gudmunsen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in West Bend, Wisconsin. Her current practice location is 333 E Washington St, Suite 2000, West Bend, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 335-4545.

Stephanie Gudmunsen is licensed to practice in Wisconsin (license number 7293-123) 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 1407941446.

Contact Information

	Stephanie Gudmunsen, LCSW
	333 E Washington St, Suite 2000, West Bend, WI 53095-2585
	(262) 335-4545
	(262) 335-6827

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Gudmunsen
Gender	Female
Speciality	Social Worker - Clinical
Location	333 E Washington St, West Bend, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407941446
Provider Enumeration Date: 10/04/2006
Last Update Date: 05/21/2009

Medicare PECOS Information:

PECOS PAC ID: 7315090123
Enrollment ID: I20090727000537

Medical Identifiers

Medical identifiers for Stephanie Gudmunsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407941446	NPI	-	NPPES
40994900	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	7293-123 (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. Stephanie Gudmunsen allows following entities to bill medicare on her behalf.

Entity Name	County Of Wood
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063638088 PECOS PAC ID: 3476554692 Enrollment ID: O20080522000193

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. Stephanie Gudmunsen 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
Stephanie Gudmunsen, LCSW 333 E Washington St, Suite 2000, West Bend, WI 53095-2585 Ph: (262) 335-4545	Stephanie Gudmunsen, LCSW 333 E Washington St, Suite 2000, West Bend, WI 53095-2585 Ph: (262) 335-4545

Reviews and Comments

Social Worker in West Bend, WI

Tiffany Dubey, LCSW, SAC-IT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 E Washington St, West Bend, WI 53095 Phone: 262-338-2717
Mr. Mical Gustave Schaffer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 400 W River Dr, West Bend, WI 53090 Phone: 262-338-2717
Abby Louise Janssen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 111 E Washington St, West Bend, WI 53095 Phone: 262-338-2717 Fax: 262-338-9767
Diana Azimov, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1622 Chestnut St, West Bend, WI 53095 Phone: 262-306-9800
Ryanne Beth Wendt, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 E Washington St, West Bend, WI 53095 Phone: 262-338-2717
Mrs. Amy R. Schumann, LSCW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1622 Chestnut St, West Bend, WI 53095 Phone: 262-338-9498

Stephanie Gudmunsen, LCSW - Medicare Clinical Social Worker in West Bend, WI