Dr Joseph Edward Wilson, PHD, LCSW-BACS, LAC is a medicare enrolled "Social Worker - Clinical" provider in Lafayette, Louisiana. His current practice location is
623 Oaklawn Ave, Lafayette, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(225) 803-2963.
Dr Joseph Edward Wilson is licensed to practice in Louisiana (license number LCSW-2289B) 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 1063622421.
Healthcare Provider's Profile
Full Name | Dr Joseph Edward Wilson |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 623 Oaklawn Ave, Lafayette, Louisiana |
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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: 1063622421
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 11/20/2014
Medicare PECOS Information:
- PECOS PAC ID: 9436283470
- Enrollment ID: I20100812001143
Medical Identifiers
Medical identifiers for Dr Joseph Edward Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063622421 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LAC-778 (Louisiana) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW-2289B (Louisiana) | 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. Dr Joseph Edward Wilson allows following entities to bill medicare on his behalf.
Entity Name | Keys For Sober Living Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861710642 PECOS PAC ID: 9537293576 Enrollment ID: O20100812001103 |
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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. Dr Joseph Edward 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 |
Dr Joseph Edward Wilson, PHD, LCSW-BACS, LAC 623 Oaklawn Ave., Lafayette, LA 70506 Ph: (225) 803-2963 | Dr Joseph Edward Wilson, PHD, LCSW-BACS, LAC 623 Oaklawn Ave, Lafayette, LA 70506-3305 Ph: (225) 803-2963 |
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