Sydney Harper Wilson, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. Her current practice location is
3330 Cahuenga Blvd W Ste 505, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(855) 501-1004.
Sydney Harper Wilson is licensed to practice in California (license number 129040) 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 1093369225.
Healthcare Provider's Profile
| Full Name | Sydney Harper Wilson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 3330 Cahuenga Blvd W Ste 505, Los Angeles, California |
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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: 1093369225
- Provider Enumeration Date: 07/25/2019
- Last Update Date: 06/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 7315457850
- Enrollment ID: I20250612001173
Medical Identifiers
Medical identifiers for Sydney Harper Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093369225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 97539 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 129040 (California) | 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. Sydney Harper Wilson allows following entities to bill medicare on her behalf.
| Entity Name | Mark David Levine Md Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154697944
PECOS PAC ID: 0143478305
Enrollment ID: O20120912000548 |
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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. Sydney Harper Wilson 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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Sydney Harper Wilson,
3810 Rosin Ct Ste 170,
Sacramento, CA 95834-1658
Ph: (916) 388-3231 | Sydney Harper Wilson,
3330 Cahuenga Blvd W Ste 505,
Los Angeles, CA 90068-1355
Ph: (855) 501-1004 |
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