Thomas Theodore Wilson, LCSW in San Diego, CA - Medicare Social Worker Provider

Thomas Theodore Wilson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Diego, California. His current practice location is 5025 Collwood Way Unit 18, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (315) 569-0809.

Thomas Theodore Wilson is licensed to practice in California (license number 116209) 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 1083465264.

Contact Information

	Thomas Theodore Wilson, LCSW
	5025 Collwood Way Unit 18, San Diego, CA 92115-2052
	(315) 569-0809
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Thomas Theodore Wilson
Gender	Male
Speciality	Social Worker - Clinical
Location	5025 Collwood Way Unit 18, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083465264
Provider Enumeration Date: 03/27/2024
Last Update Date: 03/27/2024

Medicare PECOS Information:

PECOS PAC ID: 7012359383
Enrollment ID: I20240531002550

Medical Identifiers

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

Identifier	Type	State	Issuer
1083465264	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	116209 (California)	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. Thomas Theodore Wilson allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Thomas Theodore 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
Thomas Theodore Wilson, LCSW 5025 Collwood Way Unit 18, San Diego, CA 92115-2052 Ph: (315) 569-0809	Thomas Theodore Wilson, LCSW 5025 Collwood Way Unit 18, San Diego, CA 92115-2052 Ph: (315) 569-0809

Reviews and Comments

Social Worker in San Diego, CA

Ms. Sonya None Starr, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4660 Palm Ave, San Diego, CA 92154 Phone: 619-662-5000
Evelina Jaime, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 286 Euclid Ave, Suite 102, San Diego, CA 92114 Phone: 619-266-2111 Fax: 619-266-0496
Channing Gredvig, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3420 Kenyon St, San Diego, CA 92110 Phone: 619-221-6550 Fax: 619-221-6556
Mr. Javier Perez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2305 Meade Ave, 3, San Diego, CA 92116 Phone: 619-787-2534
Mr. Jonathan R Boland, LCSW, BCD, MPH Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Naval Consolidated Brig Miramar, 46141 Miramar Way, San Diego, CA 92126 Phone: 619-846-3381
Leah Bogopulsky, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3020 Childrens Way # 5100, San Diego, CA 92123 Phone: 858-966-1700
Dawnn Marie Mendoza Guray, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8775 Aero Dr Ste 132, San Diego, CA 92123 Phone: 858-609-8742

Thomas Theodore Wilson, LCSW - Medicare Clinical Social Worker in San Diego, CA