Susan Wahlstrom, LCSW in Evansville, IN - Medicare Clinical Social Worker Provider

Susan Wahlstrom, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Evansville, Indiana. She graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Southwestern Behavioral Healthcare, Inc. and her current practice location is 4001 John St, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 473-3144.

Susan Wahlstrom is licensed to practice in Indiana (license number 34002263A) 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 1407433733.

Contact Information

	Susan Wahlstrom, LCSW
	4001 John St, Evansville, IN 47714-0216
	(812) 473-3144
	(812) 436-4306

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Wahlstrom
Gender	Female
Speciality	Clinical Social Worker
Experience	36 Years
Location	4001 John St, Evansville, Indiana
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:

Susan Wahlstrom graduated from medical school in 1988

NPI Data:

NPI Number: 1407433733
Provider Enumeration Date: 03/24/2021
Last Update Date: 03/24/2021

Medicare PECOS Information:

PECOS PAC ID: 0042628117
Enrollment ID: I20210410000034

Medical Identifiers

Medical identifiers for Susan Wahlstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407433733	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34002263A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southwestern Behavioral Healthcare, Inc.	7315842309	31

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. Susan Wahlstrom allows following entities to bill medicare on her behalf.

Entity Name	Southwestern Behavioral Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033108766 PECOS PAC ID: 7315842309 Enrollment ID: O20031203000451

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. Susan Wahlstrom 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
Susan Wahlstrom, LCSW 415 Mulberry St, Evansville, IN 47713-1230 Ph: (812) 423-7791	Susan Wahlstrom, LCSW 4001 John St, Evansville, IN 47714-0216 Ph: (812) 473-3144

Reviews and Comments

Social Worker in Evansville, IN

Laura M Faulkner, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 John St, Evansville, IN 47714 Phone: 812-473-3144 Fax: 812-422-7558
Brittany Bailey, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4001 John St, Evansville, IN 47714 Phone: 813-473-3144
Madelynn R Wiethop, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7144 E Virginia St Ste C, Evansville, IN 47715 Phone: 812-479-1242
Taylor Willard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7409 Eagle Crest Blvd, Evansville, IN 47715 Phone: 812-426-9779
Teresa A Mercer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7200 E Indiana St, Evansville, IN 47715 Phone: 812-476-7200 Fax: 812-471-4514
Ramona L. Wilzbacher, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 60 S. Stockwell Road, Evansville, IN 47714 Phone: 812-476-5437 Fax: 812-422-7558
Ashley Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1133 Lincoln Ave, Evansville, IN 47714 Phone: 812-491-2615

Susan Wahlstrom, LCSW - Medicare Clinical Social Worker in Evansville, IN