Laura Meeker Wicksall, LMSW is a medicare enrolled "Social Worker" provider in Grand Rapids, Michigan. Her current practice location is
1430 Robinson Rd Se Ste 206, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 499-1063.
Laura Meeker Wicksall is licensed to practice in Michigan (license number 6801095775) 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 1710390372.
Healthcare Provider's Profile
| Full Name | Laura Meeker Wicksall |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 1430 Robinson Rd Se Ste 206, 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. |
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NPI Data:
- NPI Number: 1710390372
- Provider Enumeration Date: 06/11/2014
- Last Update Date: 04/03/2018
Medicare PECOS Information:
- PECOS PAC ID: 3779875539
- Enrollment ID: I20160714001934
Medical Identifiers
Medical identifiers for Laura Meeker Wicksall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710390372 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Michigan) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 6801095775 (Michigan) | 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. Laura Meeker Wicksall allows following entities to bill medicare on her behalf.
| Entity Name | Advantage Health/saint Mary's Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376862151
PECOS PAC ID: 4082807961
Enrollment ID: O20101023000279 |
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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. Laura Meeker Wicksall 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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Laura Meeker Wicksall, LMSW
1430 Robinson Rd Se Ste 206,
Grand Rapids, MI 49506-1723
Ph: () - | Laura Meeker Wicksall, LMSW
1430 Robinson Rd Se Ste 206,
Grand Rapids, MI 49506-1723
Ph: (231) 499-1063 |
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