Mary M Determan, MSW LCSW - Medicare Clinical Social Worker in Milwaukee, WI

Mary M Determan, MSW LCSW is a medicare enrolled "Social Worker - Clinical" provider in Milwaukee, Wisconsin. She graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 5757 W Oklahoma Ave, Suite 203, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 431-6400.

Mary M Determan is licensed to practice in Wisconsin (license number 1174-123) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003948522.

Contact Information

Mary M Determan, MSW LCSW
5757 W Oklahoma Ave, Suite 203,
Milwaukee, WI 53219-4303
(414) 431-6400
(414) 431-6401

Map and Direction




Healthcare Provider's Profile

Full NameMary M Determan
GenderFemale
SpecialityClinical Social Worker
Experience38 Years
Location5757 W Oklahoma Ave, Milwaukee, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary M Determan graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1003948522
  • Provider Enumeration Date: 03/10/2007
  • Last Update Date: 01/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8022089689
  • Enrollment ID: I20070720000040

Medical Identifiers

Medical identifiers for Mary M Determan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003948522NPI-NPPES
39737200MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 1174-123 (Wisconsin)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. Mary M Determan allows following entities to bill medicare on her behalf.
Entity NameMary Determan Msw, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861524365
PECOS PAC ID: 0345211991
Enrollment ID: O20040805000613

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. Mary M Determan 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 AddressPractice Location Address
Mary M Determan, MSW LCSW
5757 W Oklahoma Ave, Ste 203,
Milwaukee, WI 53219-4303

Ph: (414) 431-6400
Mary M Determan, MSW LCSW
5757 W Oklahoma Ave, Suite 203,
Milwaukee, WI 53219-4303

Ph: (414) 431-6400

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.