Wanda M Woodward, MS in Bolivar, TN - Medicare Counselor Provider

Wanda M Woodward, MS is a medicare enrolled "Counselor - Mental Health" provider in Bolivar, Tennessee. Her current practice location is 10710 Old Highway 64, Bolivar, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 203-1011.

Wanda M Woodward is licensed to practice in Tennessee (license number LPC3711) 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 1861707762.

Contact Information

	Wanda M Woodward, MS
	10710 Old Highway 64, Bolivar, TN 38008-3587
	(731) 203-1011
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Wanda M Woodward
Gender	Female
Speciality	Counselor - Mental Health
Location	10710 Old Highway 64, Bolivar, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861707762
Provider Enumeration Date: 08/16/2010
Last Update Date: 02/19/2024

Medicare PECOS Information:

PECOS PAC ID: 4183072622
Enrollment ID: I20231122001446

Medical Identifiers

Medical identifiers for Wanda M Woodward such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861707762	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC3711 (Tennessee)	Secondary
101YM0800X	Counselor - Mental Health	LPC3711 (Tennessee)	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. Wanda M Woodward allows following entities to bill medicare on her behalf.

Entity Name	Mental Health Centers & Clinics Of Tennessee
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255442794 PECOS PAC ID: 3678475621 Enrollment ID: O20040121001005

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. Wanda M Woodward 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
Wanda M Woodward, MS 6753 Kirby Lawn Cv, Memphis, TN 38119-8606 Ph: (901) 752-5636	Wanda M Woodward, MS 10710 Old Highway 64, Bolivar, TN 38008-3587 Ph: (731) 203-1011

Reviews and Comments

Counselor in Bolivar, TN

Marvin Gary Gill, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-6165
Harlis Reese, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-6165
Michelle Guia, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-6165
Mr. Broderick Webster Sr., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 793 Tennessee St, Bolivar, TN 38008 Phone: 731-228-9068 Fax: 901-425-9773
Lafonda Boyd, BLS Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-6165
Edward Daniel Hamer, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-1597
Jacob Isaac Latham, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-6165

Wanda M Woodward, MS - Medicare Counselor in Bolivar, TN