Meredith Wild, LCSW in Marion, IL - Medicare Social Worker Provider

Meredith Wild, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Marion, Illinois. Her current practice location is 3111 Williamson County Pkwy, Marion, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 519-9200.

Meredith Wild is licensed to practice in Illinois (license number 149.025448) 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 1275237745.

Contact Information

	Meredith Wild, LCSW
	3111 Williamson County Pkwy, Marion, IL 62959-5235
	(618) 519-9200
	(618) 985-9155

Map and Direction

Healthcare Provider's Profile

Full Name	Meredith Wild
Gender	Female
Speciality	Social Worker - Clinical
Location	3111 Williamson County Pkwy, Marion, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275237745
Provider Enumeration Date: 03/29/2023
Last Update Date: 03/29/2023

Medicare PECOS Information:

PECOS PAC ID: 1759746480
Enrollment ID: I20230502000353

Medical Identifiers

Medical identifiers for Meredith Wild such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275237745	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.025448 (Illinois)	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. Meredith Wild allows following entities to bill medicare on her behalf.

Entity Name	Shawnee Health Service And Development Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639295314 PECOS PAC ID: 1658285671 Enrollment ID: O20031120000454

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. Meredith Wild 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
Meredith Wild, LCSW 109 California St, Po Box 577, Carterville, IL 62918 Ph: (618) 519-9200	Meredith Wild, LCSW 3111 Williamson County Pkwy, Marion, IL 62959-5235 Ph: (618) 519-9200

Reviews and Comments

Social Worker in Marion, IL

Mrs. Susan Elaine Shelton, LCSW, DCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311
Kelsie Woods, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311
Mr. Jason Matthew Van Sickle, LCSW, MSCS, COR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 Fax: 618-998-5697
Tiffany Todd, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3111 Williamson County Pkwy, Marion, IL 62959 Phone: 618-519-9200 Fax: 618-985-9155
Rocky Ray Peppers Sr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 Fax: 618-998-5677
Adam Lee Coleman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311
Ms. Faith Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1307 W Main St, Marion, IL 62959 Phone: 618-997-5336 Fax: 618-993-2969

Meredith Wild, LCSW - Medicare Clinical Social Worker in Marion, IL