Theresa C Potente, LCSW in Kenosha, WI - Medicare Social Worker Provider

Theresa C Potente, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kenosha, Wisconsin. Her current practice location is 920 60th St, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 654-5333.

Theresa C Potente is licensed to practice in Wisconsin (license number 2933-123) 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 1912069667.

Contact Information

	Theresa C Potente, LCSW
	920 60th St, Kenosha, WI 53140-4041
	(262) 654-5333
	(262) 654-7818

Map and Direction

Healthcare Provider's Profile

Full Name	Theresa C Potente
Gender	Female
Speciality	Social Worker - Clinical
Location	920 60th St, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912069667
Provider Enumeration Date: 12/15/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9335200187
Enrollment ID: I20240102000000

Medical Identifiers

Medical identifiers for Theresa C Potente such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912069667	NPI	-	NPPES
209736	Other		VALUE OPTIONS
79757	Other		UNITED BEHAVIORAL HEALTH
W009308	Other		TRICARE CHAMPUS
39501700	Medicaid	WI
5616139	Other		AETNA
137897	Other		MANAGED HEALTH NETWORK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2933-123 (Wisconsin)	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. Theresa C Potente 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
Theresa C Potente, LCSW 920 60th St, Kenosha, WI 53140-4041 Ph: (262) 654-5333	Theresa C Potente, LCSW 920 60th St, Kenosha, WI 53140-4041 Ph: (262) 654-5333

Reviews and Comments

Social Worker in Kenosha, WI

Linda M. Tiso, MSW, LCSW, SAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3535 30th Ave, Suite 202, Kenosha, WI 53144 Phone: 262-842-0500 Fax: 262-842-0502
Kathryn Ann Aalto, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3734 7th Ave, Suite 12, Kenosha, WI 53140 Phone: 262-654-9370 Fax: 262-654-9379
David S Meyers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 60th St, Kenosha, WI 53140 Phone: 262-654-5333 Fax: 262-654-7818
Nicholas Olsen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6121 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-674-3718
Shonda Lynn Gagliano, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7723 32nd Ave, Kenosha, WI 53142 Phone: 262-573-4549
Victoria Mahboub, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6014 41st Ave, Kenosha, WI 53142 Phone: 262-818-3531
Mr. Christopher Michael David, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406

Theresa C Potente, LCSW - Medicare Clinical Social Worker in Kenosha, WI