Amy Wicker, OT, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Duluth, Minnesota. Her current practice location is
101 W 2nd St, Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 724-3122.
Amy Wicker is licensed to practice in Minnesota (license number 23668) 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 1902198088.
Healthcare Provider's Profile
| Full Name | Amy Wicker |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 101 W 2nd St, Duluth, Minnesota |
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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: 1902198088
- Provider Enumeration Date: 05/09/2011
- Last Update Date: 05/05/2017
Medicare PECOS Information:
- PECOS PAC ID: 4284819335
- Enrollment ID: I20180228003027
Medical Identifiers
Medical identifiers for Amy Wicker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902198088 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | 103868 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 23668 (Minnesota) | 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. Amy Wicker allows following entities to bill medicare on her behalf.
| Provider Name | Iron Range Behavioral Services Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1851900484
PECOS PAC ID: 1456756352
Enrollment ID: O20210816001322 |
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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. Amy Wicker 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 |
|---|
Amy Wicker, OT, LICSW
101 W 2nd St,
Duluth, MN 55802-2086
Ph: (218) 724-3122 | Amy Wicker, OT, LICSW
101 W 2nd St,
Duluth, MN 55802-2086
Ph: (218) 724-3122 |
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