Timothy Sean Wilson, in Campbell, CA - Medicare Social Worker Provider

Timothy Sean Wilson, is a medicare enrolled "Social Worker - Clinical" provider in Campbell, California. His current practice location is 201 Michael Dr Apt A4, Campbell, California. You can reach out to his office (for appointments etc.) via phone at (415) 299-2681.

Timothy Sean Wilson is licensed to practice in California (license number 25529) 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 1972760528.

Contact Information

	Timothy Sean Wilson,
	201 Michael Dr Apt A4, Campbell, CA 95008-3222
	(415) 299-2681
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Timothy Sean Wilson
Gender	Male
Speciality	Social Worker - Clinical
Location	201 Michael Dr Apt A4, Campbell, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972760528
Provider Enumeration Date: 05/21/2008
Last Update Date: 12/31/2024

Medicare PECOS Information:

PECOS PAC ID: 2961872718
Enrollment ID: I20230112000967

Medical Identifiers

Medical identifiers for Timothy Sean Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972760528	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	25529 (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. Timothy Sean 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. Timothy Sean 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
Timothy Sean Wilson, 201 Michael Dr Apt A4, Campbell, CA 95008-3222 Ph: (415) 465-4620	Timothy Sean Wilson, 201 Michael Dr Apt A4, Campbell, CA 95008-3222 Ph: (415) 299-2681

Reviews and Comments

Social Worker in Campbell, CA

Kim E Cousens, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 251 Llewellyn Ave, Campbell, CA 95008 Phone: 408-356-9853
Hong D Tran, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 335 N 3rd St Apt 1, Campbell, CA 95008 Phone: 646-733-6554
Miss Cassie Robertson, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 251 Llewellyn Ave, Campbell, CA 95008 Phone: 408-379-3790
Ms. Archana Narayan Kulkarni, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2542 S Bascom Ave, Suite 255, Campbell, CA 95008 Phone: 408-768-1841
Ms. Amanda Danielle Sharpton, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 251 Llewellyn Ave, Campbell, CA 95008 Phone: 408-379-3790
Ruth Schifrin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3425 S Bascom Ave, Suite F, Campbell, CA 95008 Phone: 408-559-6974
Melanie Winters, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 E Hacienda Ave, Campbell, CA 95008 Phone: 914-419-8832

Timothy Sean Wilson, - Medicare Clinical Social Worker in Campbell, CA