Lisa Michelle Wiborg, LISW-S in Lakewood, OH - Medicare Social Worker Provider

Lisa Michelle Wiborg, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Lakewood, Ohio. Her current practice location is 2160 Arthur Ave, Lakewood, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 671-4963.

Lisa Michelle Wiborg is licensed to practice in Ohio (license number I.1303255-SUPR) 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 1073191078.

Contact Information

	Lisa Michelle Wiborg, LISW-S
	2160 Arthur Ave, Lakewood, OH 44107-5760
	(330) 671-4963
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Michelle Wiborg
Gender	Female
Speciality	Social Worker - Clinical
Location	2160 Arthur Ave, Lakewood, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073191078
Provider Enumeration Date: 03/31/2021
Last Update Date: 03/31/2021

Medicare PECOS Information:

PECOS PAC ID: 2264877323
Enrollment ID: I20240228001871

Medical Identifiers

Medical identifiers for Lisa Michelle Wiborg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073191078	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I.1303255-SUPR (Ohio)	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. Lisa Michelle Wiborg allows following entities to bill medicare on her behalf.

Entity Name	Psychology Consultants Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205882941 PECOS PAC ID: 2163310475 Enrollment ID: O20040309000096

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. Lisa Michelle Wiborg 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
Lisa Michelle Wiborg, LISW-S 2160 Arthur Ave, Lakewood, OH 44107-5760 Ph: (330) 671-4963	Lisa Michelle Wiborg, LISW-S 2160 Arthur Ave, Lakewood, OH 44107-5760 Ph: (330) 671-4963

Reviews and Comments

Social Worker in Lakewood, OH

Salina R Stuart, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14837 Detroit Ave # 193, Lakewood, OH 44107 Phone: 216-302-4077 Fax: 888-684-5911
Georgiana W. Gray, M.S.S.A., L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15200 Madison Ave, Lakewood, OH 44107 Phone: 216-402-9188
Dawn L Golba, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15200 Madison Ave, Lakewood, OH 44107 Phone: 440-260-6117 Fax: 216-529-1630
Amy J. Lipka, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 17222 Clifton Blvd, Lakewood, OH 44107 Phone: 216-406-4368
Ilana Spaulding, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1457 Larchmont Ave, Lakewood, OH 44107 Phone: 734-649-8865
Ms. Elizabeth K. Biddulph, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12029 Clifton Blvd Apt 101, Lakewood, OH 44107 Phone: 216-355-2198

Lisa Michelle Wiborg, LISW-S - Medicare Clinical Social Worker in Lakewood, OH