Ms Gwendolyn Jayne Martell-daniels, LCSW, SAC is a medicare enrolled "Social Worker - Clinical" provider in Merrill, Wisconsin. She graduated from healthcare school in 1998 and has 26 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
N2355 Smith Rd, Merrill, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 551-1970.
Ms Gwendolyn Jayne Martell-daniels is licensed to practice in Wisconsin (license number 125215) 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 1891906889.
Healthcare Provider's Profile
| Full Name | Ms Gwendolyn Jayne Martell-daniels |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 26 Years |
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| Location | N2355 Smith Rd, Merrill, 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:
- Ms Gwendolyn Jayne Martell-daniels graduated from medical school in 1998
NPI Data:
- NPI Number: 1891906889
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 07/24/2015
Medicare PECOS Information:
- PECOS PAC ID: 9638229677
- Enrollment ID: I20090611000743
Medical Identifiers
Medical identifiers for Ms Gwendolyn Jayne Martell-daniels such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891906889 | NPI | - | NPPES |
| 40927200 | Medicaid | WI | |
| 39-1991697 | Other | WI | FED TAX ID |
| 602114 | Other | WI | STATE TAX ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11275 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 125215 (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. Ms Gwendolyn Jayne Martell-daniels allows following entities to bill medicare on her behalf.
| Entity Name | Visions Counseling Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336324433
PECOS PAC ID: 9537219571
Enrollment ID: O20090611000754 |
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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. Ms Gwendolyn Jayne Martell-daniels 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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Ms Gwendolyn Jayne Martell-daniels, LCSW, SAC
N2355 Smith Rd,
Merrill, WI 54452-9453
Ph: (715) 551-1970 | Ms Gwendolyn Jayne Martell-daniels, LCSW, SAC
N2355 Smith Rd,
Merrill, WI 54452-9453
Ph: (715) 551-1970 |
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