Debra Jean Wentz, MSW LCSW CADCIII - Medicare Counselor in Sheboygan, WI

Debra Jean Wentz, MSW LCSW CADCIII is a medicare enrolled "Social Worker - Clinical" provider in Sheboygan, Wisconsin. She graduated from healthcare school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Core Treatment Services, Inc. and her current practice location is 2414 Kohler Memorial Dr, Sheboygan, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 457-4461.

Debra Jean Wentz is licensed to practice in Wisconsin (license number 6921123) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164524237.

Contact Information

Debra Jean Wentz, MSW LCSW CADCIII
2414 Kohler Memorial Dr,
Sheboygan, WI 53081-3129
(920) 457-4461
(920) 459-1483

Map and Direction


Healthcare Provider's Profile

Full NameDebra Jean Wentz
GenderFemale
SpecialityClinical Social Worker
Experience25 Years
Location2414 Kohler Memorial Dr, Sheboygan, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Debra Jean Wentz graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1164524237
  • Provider Enumeration Date: 09/01/2006
  • Last Update Date: 03/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0840220778
  • Enrollment ID: I20050819000379

Medical Identifiers

Medical identifiers for Debra Jean Wentz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164524237NPI-NPPES
39331400MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 1348 (Wisconsin)Secondary
1041C0700XSocial Worker - Clinical 6921123 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Core Treatment Services, Inc.66082674304

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. Debra Jean Wentz allows following entities to bill medicare on her behalf.
Entity NameNett Work Family Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053406066
PECOS PAC ID: 5597849604
Enrollment ID: O20080228000182
Entity NameCore Treatment Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659912319
PECOS PAC ID: 6608267430
Enrollment ID: O20220105000239

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. Debra Jean Wentz 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 AddressPractice Location Address
Debra Jean Wentz, MSW LCSW CADCIII
2801 Calumet Dr,
Sheboygan, WI 53083-3839

Ph: (920) 457-4461
Debra Jean Wentz, MSW LCSW CADCIII
2414 Kohler Memorial Dr,
Sheboygan, WI 53081-3129

Ph: (920) 457-4461

Reviews and Comments


Social Worker in Sheboygan, WI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.