Kevin Wicker, LMHC in Watertown, MA - Medicare Counselor Provider

Kevin Wicker, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Watertown, Massachusetts. His current practice location is 8 Bennett Rd, Watertown, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 926-2638.

Kevin Wicker is licensed to practice in Massachusetts (license number 5171) 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 1124183116.

Contact Information

	Kevin Wicker, LMHC
	8 Bennett Rd, Watertown, MA 02472-3133
	(617) 926-2638
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kevin Wicker
Gender	Male
Speciality	Counselor - Mental Health
Location	8 Bennett Rd, Watertown, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124183116
Provider Enumeration Date: 12/27/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0143669150
Enrollment ID: I20240423002337

Medical Identifiers

Medical identifiers for Kevin Wicker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124183116	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	5171 (Massachusetts)	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. Kevin Wicker allows following entities to bill medicare on his behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20220826002724

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. Kevin Wicker 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
Kevin Wicker, LMHC 8 Bennett Rd, Watertown, MA 02472-3133 Ph: (617) 926-2638	Kevin Wicker, LMHC 8 Bennett Rd, Watertown, MA 02472-3133 Ph: (617) 926-2638

Reviews and Comments

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Kevin Wicker, LMHC - Medicare Counselor in Watertown, MA