Theodore John Wiard, LPCC in Taos, NM - Medicare Counselor Provider

Theodore John Wiard, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Taos, New Mexico. His current practice location is 125 La Posta Rd Ste B15, Taos, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 690-0126.

Theodore John Wiard is licensed to practice in New Mexico (license number 0109811) 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 1790894053.

Contact Information

	Theodore John Wiard, LPCC
	125 La Posta Rd Ste B15, Taos, NM 87571-7242
	(505) 690-0126
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Theodore John Wiard
Gender	Male
Speciality	Counselor - Mental Health
Location	125 La Posta Rd Ste B15, Taos, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790894053
Provider Enumeration Date: 08/30/2006
Last Update Date: 05/21/2024

Medicare PECOS Information:

PECOS PAC ID: 1759796865
Enrollment ID: I20240613000912

Medical Identifiers

Medical identifiers for Theodore John Wiard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790894053	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP1600X	Counselor - Pastoral	0109811 (New Mexico)	Secondary
101YM0800X	Counselor - Mental Health	0109811 (New Mexico)	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. Theodore John Wiard allows following entities to bill medicare on his behalf.

Entity Name	T Wiard Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942637517 PECOS PAC ID: 2860936671 Enrollment ID: O20240703003780

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. Theodore John Wiard 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
Theodore John Wiard, LPCC 412 Sipapu St, Taos, NM 87571-6498 Ph: (505) 690-0126	Theodore John Wiard, LPCC 125 La Posta Rd Ste B15, Taos, NM 87571-7242 Ph: (505) 690-0126

Reviews and Comments

Counselor in Taos, NM

Miss Melissa Martinez, CPSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Rotten Tree Road, Taos, NM 87571 Phone: 575-758-7824 Fax: 575-758-3346
Elizabeth Sump, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1337 Gusdorf Road, Suite E, Taos, NM 87571 Phone: 575-752-4297 Fax: 575-751-7237
Amber Bodhani, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 520 Conrad Ln, Taos, NM 87571 Phone: 575-770-8903
Patricia Passino, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Este Es Rd, Taos, NM 87571 Phone: 575-758-9343
Lindsey M Schreiber, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 412 Sipapu Street, Taos, NM 87571 Phone: 575-737-5533
Anamarie Alexandria Concha, CPSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Paseo Del Pueblo Norte, Taos, NM 87571 Phone: 575-758-2694 Fax: 575-758-5104
Ms. Katherine Sheldon Duff, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1337 Gusdorf Rd, Suite H, Taos, NM 87571 Phone: 505-779-0005 Fax: 505-737-5507

Theodore John Wiard, LPCC - Medicare Counselor in Taos, NM