Tasha Lynn Wisdom, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Ellington, Missouri. Her current practice location is
315 E Walnut St, Ellington, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 663-2644.
Tasha Lynn Wisdom is licensed to practice in Missouri (license number 2014018308) 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 1730450156.
Healthcare Provider's Profile
Full Name | Tasha Lynn Wisdom |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 315 E Walnut St, Ellington, Missouri |
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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:
- Tasha Lynn Wisdom attended and graduated from in
NPI Data:
- NPI Number: 1730450156
- Provider Enumeration Date: 01/17/2012
- Last Update Date: 10/30/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Tasha Lynn Wisdom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730450156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 2014018308 (Missouri) | Primary |
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. Tasha Lynn Wisdom 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 |
Tasha Lynn Wisdom, LCSW 315 E Walnut St, Ellington, MO 63638-7943 Ph: (573) 663-2644 | Tasha Lynn Wisdom, LCSW 315 E Walnut St, Ellington, MO 63638 Ph: (573) 663-2644 |
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