Ty Wakefield, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Aurora, Illinois. His current practice location is
75 Executive Dr Ste 315d, Aurora, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 949-3138.
Ty Wakefield is licensed to practice in Illinois (license number 149.019991) 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 1386005338.
Healthcare Provider's Profile
| Full Name | Ty Wakefield |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 75 Executive Dr Ste 315d, Aurora, Illinois |
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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:
- Ty Wakefield attended and graduated from in
NPI Data:
- NPI Number: 1386005338
- Provider Enumeration Date: 03/17/2016
- Last Update Date: 04/15/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ty Wakefield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386005338 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 174H00000X | Health Educator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.019991 (Illinois) | Primary |
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. Ty Wakefield 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 |
|---|
Ty Wakefield, LCSW
1605 2nd Ave,
Rock Island, IL 61201-8601
Ph: () - | Ty Wakefield, LCSW
75 Executive Dr Ste 315d,
Aurora, IL 60504-8142
Ph: (630) 949-3138 |
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