Wiliette Sejour-thelismon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lauderdale Lakes, Florida. Her current practice location is
4800 N State Road 7, Lauderdale Lakes, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 833-4873.
Wiliette Sejour-thelismon is licensed to practice in Florida (license number SW20243) 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 1730622879.
Healthcare Provider's Profile
| Full Name | Wiliette Sejour-thelismon |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4800 N State Road 7, Lauderdale Lakes, Florida |
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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: 1730622879
- Provider Enumeration Date: 11/21/2016
- Last Update Date: 02/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860873528
- Enrollment ID: I20220713001383
Medical Identifiers
Medical identifiers for Wiliette Sejour-thelismon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730622879 | NPI | - | NPPES |
| 1730622879 | Other | FL | MENTAL HEALTH THERAPIST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | PSW1194 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW20243 (Florida) | 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. Wiliette Sejour-thelismon allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053 |
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| Entity Name | Three Heart Beats Counseling Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336842293
PECOS PAC ID: 7315387800
Enrollment ID: O20240501001739 |
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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. Wiliette Sejour-thelismon 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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Wiliette Sejour-thelismon, LCSW
10100 W Sample Rd Ste 300,
Coral Springs, FL 33065-3973
Ph: (561) 244-2553 | Wiliette Sejour-thelismon, LCSW
4800 N State Road 7,
Lauderdale Lakes, FL 33319-5811
Ph: (954) 833-4873 |
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