Thomas G Mlodzik, MSW, LCSW, LMFT, CAD is a medicare enrolled "Social Worker - Clinical" provider in Milwaukee, Wisconsin. He graduated from healthcare school in 1995 and has 29 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Restore Counseling And Recovery Inc and his current practice location is
2015 E Newport Ave, Suite 404, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 961-5520.
Thomas G Mlodzik is licensed to practice in Wisconsin (license number 6995-123) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013017169.
Healthcare Provider's Profile
| Full Name | Thomas G Mlodzik |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 29 Years |
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| Location | 2015 E Newport Ave, Milwaukee, Wisconsin |
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| Accepts Medicare Assignments | Yes. He 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:
- Thomas G Mlodzik graduated from medical school in 1995
NPI Data:
- NPI Number: 1013017169
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 11/04/2016
Medicare PECOS Information:
- PECOS PAC ID: 9739257882
- Enrollment ID: I20081002000665
Medical Identifiers
Medical identifiers for Thomas G Mlodzik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013017169 | NPI | - | NPPES |
| 12418 | Other | WI | CADCIII |
| 39757800 | Medicaid | WI | |
| 6995-123 | Other | WI | LCSW |
| 555-124 | Other | WI | LMFT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12418 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6995-123 (Wisconsin) | Primary |
| 106H00000X | Marriage & Family Therapist | 555-124 (Wisconsin) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Restore Counseling And Recovery Inc | 0446497598 | 2 |
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. Thomas G Mlodzik allows following entities to bill medicare on his behalf.
| Entity Name | Restore Counseling & Recovery Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588909923
PECOS PAC ID: 0446497598
Enrollment ID: O20130508000321 |
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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. Thomas G Mlodzik 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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Thomas G Mlodzik, MSW, LCSW, LMFT, CAD
2015 E Newport Ave, Suite 404,
Milwaukee, WI 53211-2984
Ph: (414) 961-5520 | Thomas G Mlodzik, MSW, LCSW, LMFT, CAD
2015 E Newport Ave, Suite 404,
Milwaukee, WI 53211-2984
Ph: (414) 961-5520 |
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