Ann Brennan Weidenheim, LCSW,LPC is a medicare enrolled "Social Worker - Clinical" provider in Eau Claire, Wisconsin. Her current practice location is
2925 Mondovi Rd, Eau Claire, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 832-0238.
Ann Brennan Weidenheim is licensed to practice in Wisconsin (license number 1070-123) 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 1225306400.
Healthcare Provider's Profile
| Full Name | Ann Brennan Weidenheim |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2925 Mondovi Rd, Eau Claire, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225306400
- Provider Enumeration Date: 12/02/2011
- Last Update Date: 12/02/2011
Medicare PECOS Information:
- PECOS PAC ID: 8224480017
- Enrollment ID: I20240117002470
Medical Identifiers
Medical identifiers for Ann Brennan Weidenheim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225306400 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 609-125 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1070-123 (Wisconsin) | 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. Ann Brennan Weidenheim allows following entities to bill medicare on her behalf.
| Entity Name | Gundersen Lutheran Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225873458
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254 |
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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. Ann Brennan Weidenheim 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 |
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Ann Brennan Weidenheim, LCSW,LPC
2925 Mondovi Rd,
Eau Claire, WI 54701-6141
Ph: (715) 832-0238 | Ann Brennan Weidenheim, LCSW,LPC
2925 Mondovi Rd,
Eau Claire, WI 54701-6141
Ph: (715) 832-0238 |
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