Mr John Roosevelt Wilson, LISW in Grove City, OH - Medicare Social Worker Provider

Mr John Roosevelt Wilson, LISW is a medicare enrolled "Social Worker - Clinical" provider in Grove City, Ohio. His current practice location is 1955 Ohio Dr, Grove City, Ohio. You can reach out to his office (for appointments etc.) via phone at (614) 257-5800.

Mr John Roosevelt Wilson is licensed to practice in Ohio (license number I0600163) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093955775.

Contact Information

	Mr John Roosevelt Wilson, LISW
	1955 Ohio Dr, Grove City, OH 43123-4835
	(614) 257-5800
	(614) 257-5801

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John Roosevelt Wilson
Gender	Male
Speciality	Social Worker - Clinical
Location	1955 Ohio Dr, Grove City, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093955775
Provider Enumeration Date: 02/20/2009
Last Update Date: 02/20/2009

Medicare PECOS Information:

PECOS PAC ID: 5890072276
Enrollment ID: I20170512001239

Medical Identifiers

Medical identifiers for Mr John Roosevelt Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093955775	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I0600163 (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. Mr John Roosevelt Wilson allows following entities to bill medicare on his behalf.

Entity Name	River's Edge Counseling Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396155768 PECOS PAC ID: 3577844091 Enrollment ID: O20161221000799

Entity Name	Living In Hope Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356797567 PECOS PAC ID: 5496048449 Enrollment ID: O20240216003781

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. Mr John Roosevelt Wilson 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
Mr John Roosevelt Wilson, LISW 339 Wind Rush Ave, Columbus, OH 43213-4439 Ph: (614) 986-8911	Mr John Roosevelt Wilson, LISW 1955 Ohio Dr, Grove City, OH 43123-4835 Ph: (614) 257-5800

Reviews and Comments

Social Worker in Grove City, OH

Christine Schuyler, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2165 Tonda Ln, Grove City, OH 43123 Phone: 412-427-9860
Taylor Carter, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2655 Willowgate Rd, Grove City, OH 43123 Phone: 937-654-1750
Beatrice Mae Bartram, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1955 Ohio Dr, Grove City, OH 43123 Phone: 614-257-5816 Fax: 614-257-5801
Mackenzie Catherine Golden, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5775 N Meadows Dr Ste A, Grove City, OH 43123 Phone: 614-325-0509
Mr. John G Emmerich, MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5266 Merrybell Ln, Grove City, OH 43123 Phone: 614-581-0399
Mrs. Stephanie Rapp, MSW, LISW-S, LICDC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5665 Hoover Rd, Grove City, OH 43123 Phone: 614-539-6439

Mr John Roosevelt Wilson, LISW - Medicare Clinical Social Worker in Grove City, OH