Ann Wasikowski, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Grand Rapids, Michigan. Her current practice location is
790 Fuller Ave Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 336-3909.
Ann Wasikowski is licensed to practice in Michigan (license number 6801115328) 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 1235731902.
Healthcare Provider's Profile
Full Name | Ann Wasikowski |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 790 Fuller Ave Ne, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235731902
- Provider Enumeration Date: 11/09/2020
- Last Update Date: 02/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082052659
- Enrollment ID: I20240402000129
Medical Identifiers
Medical identifiers for Ann Wasikowski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235731902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 33009903A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 6801115328 (Michigan) | Primary |
101Y00000X | Counselor | 6851110782 (Michigan) | Secondary |
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 Wasikowski allows following entities to bill medicare on her behalf.
Entity Name | Kent County Cmh Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588935068 PECOS PAC ID: 9436314143 Enrollment ID: O20120703000167 |
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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 Wasikowski 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 |
Ann Wasikowski, LMSW 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 Ph: (616) 336-3909 | Ann Wasikowski, LMSW 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 Ph: (616) 336-3909 |
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