Jennifer L Wickham, LPC is a medicare enrolled "Social Worker" provider in Eau Claire, Wisconsin. Her current practice location is
1400 Bellinger St, Eau Claire, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 838-5222.
Jennifer L Wickham is licensed to practice in Wisconsin (license number 3079) 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 1215987847.
Healthcare Provider's Profile
| Full Name | Jennifer L Wickham |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 1400 Bellinger St, 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: 1215987847
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 01/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 2567805625
- Enrollment ID: I20240206003566
Medical Identifiers
Medical identifiers for Jennifer L Wickham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215987847 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 3079 (Wisconsin) | Secondary |
| 104100000X | Social Worker | 3079 (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. Jennifer L Wickham allows following entities to bill medicare on her behalf.
| Entity Name | Nystrom & Associates Counseling Wi Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659977866
PECOS PAC ID: 1052729464
Enrollment ID: O20210426000171 |
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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. Jennifer L Wickham 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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Jennifer L Wickham, LPC
200 1st St Sw,
Rochester, MN 55905-1510
Ph: (715) 838-5222 | Jennifer L Wickham, LPC
1400 Bellinger St,
Eau Claire, WI 54703-5222
Ph: (715) 838-5222 |
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