Wayne R Wilson, LCSW in Altadena, CA - Medicare Social Worker Provider

Wayne R Wilson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Altadena, California. His current practice location is 70 East Terrace Dr, Altadena, California. You can reach out to his office (for appointments etc.) via phone at (707) 797-0064.

Wayne R Wilson is licensed to practice in California (license number LCSW91441) 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 1841737673.

Contact Information

	Wayne R Wilson, LCSW
	70 East Terrace Dr, Altadena, CA 91101
	(707) 797-0064
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Wayne R Wilson
Gender	Male
Speciality	Social Worker - Clinical
Location	70 East Terrace Dr, Altadena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841737673
Provider Enumeration Date: 01/31/2017
Last Update Date: 08/08/2024

Medicare PECOS Information:

PECOS PAC ID: 6406395052
Enrollment ID: I20240827001643

Medical Identifiers

Medical identifiers for Wayne R Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841737673	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	ASW75482 (California)	Secondary
1041C0700X	Social Worker - Clinical	LCSW91441 (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. Wayne R Wilson allows following entities to bill medicare on his behalf.

Entity Name	Foresight Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902390537 PECOS PAC ID: 6103176219 Enrollment ID: O20180912000079

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. Wayne R 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
Wayne R Wilson, LCSW 736 Bridge St Unit 11, Vernonia, OR 97064-1285 Ph: (707) 797-0064	Wayne R Wilson, LCSW 70 East Terrace Dr, Altadena, CA 91101 Ph: (707) 797-0064

Reviews and Comments

Social Worker in Altadena, CA

February Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 760 Mountain View St, Altadena, CA 91001 Phone: 626-798-6793
Christian Mares Gasca, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2046 Allen Ave Rm 100, Altadena, CA 91001 Phone: 626-396-5920
Mrs. Retha Maria De Johnette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 636 Royce St, Altadena, CA 91001 Phone: 626-695-9885
Mrs. Cammie Warner Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 760 Mountain View St, Altadena, CA 91001 Phone: 323-221-4134
Gilbert Flores, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 596 Alberta St, Altadena, CA 91001 Phone: 626-626-3393
Mrs. Karen Denise Richardson, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18 E Pine St, Altadena, CA 91001 Phone: 626-429-8652 Fax: 626-296-2850
Mr. Tucker Croxall Cannon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2046 Allen Ave Rm 100, Altadena, CA 91001 Phone: 626-660-9419

Wayne R Wilson, LCSW - Medicare Clinical Social Worker in Altadena, CA