Mary Jo Vanden Wymelenberg, LCSW,CSAC is a medicare enrolled "Social Worker - Clinical" provider in Green Bay, Wisconsin. She graduated from healthcare school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Bellin Psychiatric Center Inc and her current practice location is
301 E Saint Joseph St, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 433-6073.
Mary Jo Vanden Wymelenberg is licensed to practice in Wisconsin (license number 9381-123) 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 1720497118.
Healthcare Provider's Profile
| Full Name | Mary Jo Vanden Wymelenberg |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 301 E Saint Joseph St, Green Bay, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mary Jo Vanden Wymelenberg graduated from medical school in 2018
NPI Data:
- NPI Number: 1720497118
- Provider Enumeration Date: 08/11/2014
- Last Update Date: 03/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 8820329576
- Enrollment ID: I20191010000022
Medical Identifiers
Medical identifiers for Mary Jo Vanden Wymelenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720497118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15798-132 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 9381-123 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bellin Psychiatric Center Inc | 4486551058 | 65 |
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. Mary Jo Vanden Wymelenberg allows following entities to bill medicare on her behalf.
| Entity Name | Bellin Psychiatric Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952554800
PECOS PAC ID: 4486551058
Enrollment ID: O20031212000884 |
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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. Mary Jo Vanden Wymelenberg 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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Mary Jo Vanden Wymelenberg, LCSW,CSAC
Po Box 22040,
Green Bay, WI 54305-2040
Ph: (920) 445-7222 | Mary Jo Vanden Wymelenberg, LCSW,CSAC
301 E Saint Joseph St,
Green Bay, WI 54301-2241
Ph: (920) 433-6073 |
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