Mr Andrew Jacob Freeman, LCSW, CSAC is a medicare enrolled "Social Worker - Clinical" provider in Brookfield, Wisconsin. His current practice location is
17100 W North Ave, Brookfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 244-6177.
Mr Andrew Jacob Freeman is licensed to practice in Wisconsin (license number 8678-123) 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 1710309059.
Healthcare Provider's Profile
| Full Name | Mr Andrew Jacob Freeman |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 17100 W North Ave, Brookfield, 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: 1710309059
- Provider Enumeration Date: 01/06/2014
- Last Update Date: 06/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 2264807627
- Enrollment ID: I20230417002478
Medical Identifiers
Medical identifiers for Mr Andrew Jacob Freeman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710309059 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17043-130 (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16116-132 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8678-123 (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. Mr Andrew Jacob Freeman allows following entities to bill medicare on his behalf.
| Entity Name | Cornerstone Counseling Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033127246
PECOS PAC ID: 1456256023
Enrollment ID: O20031205000446 |
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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. Mr Andrew Jacob Freeman 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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Mr Andrew Jacob Freeman, LCSW, CSAC
1035 W Glen Oaks Ln Ste 110,
Mequon, WI 53092-3392
Ph: (262) 244-6177 | Mr Andrew Jacob Freeman, LCSW, CSAC
17100 W North Ave,
Brookfield, WI 53005-4436
Ph: (262) 244-6177 |
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