Mr Timothy M Wade Jr, LICSW in Johnston, RI - Medicare Clinical Social Worker Provider

Mr Timothy M Wade Jr, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Johnston, Rhode Island. He graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Gateway Healthcare Inc and his current practice location is 1443 Hartford Ave, Johnston, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 273-8100.

Mr Timothy M Wade Jr is licensed to practice in Rhode Island (license number ISW04148) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689224750.

Contact Information

	Mr Timothy M Wade Jr, LICSW
	1443 Hartford Ave, Johnston, RI 02919-3224
	(401) 273-8100
	(401) 861-8696

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Timothy M Wade Jr
Gender	Male
Speciality	Clinical Social Worker
Experience	7 Years
Location	1443 Hartford Ave, Johnston, Rhode Island
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Timothy M Wade Jr graduated from medical school in 2018

NPI Data:

NPI Number: 1689224750
Provider Enumeration Date: 09/19/2019
Last Update Date: 11/27/2024

Medicare PECOS Information:

PECOS PAC ID: 9133552037
Enrollment ID: I20191206002064

Medical Identifiers

Medical identifiers for Mr Timothy M Wade Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689224750	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	ISW04148 (Rhode Island)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gateway Healthcare Inc	7719874908	44

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 Timothy M Wade Jr allows following entities to bill medicare on his behalf.

Entity Name	Gateway Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821078932 PECOS PAC ID: 7719874908 Enrollment ID: O20040302001066

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 Timothy M Wade Jr 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 Timothy M Wade Jr, LICSW 117 Ellenfield St Ste 101, Providence, RI 02905-4541 Ph: (401) 444-6779	Mr Timothy M Wade Jr, LICSW 1443 Hartford Ave, Johnston, RI 02919-3224 Ph: (401) 273-8100

Reviews and Comments

Social Worker in Johnston, RI

Santanna Rocha, J.D., M.S.W., LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1443 Hartford Ave, Johnston, RI 02919 Phone: 401-273-8100 Fax: 401-861-8696
Ms. Aprile R Daley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1126 Hartford Ave, Johnston, RI 02919 Phone: 401-351-1940 Fax: 401-351-6613
Mr. Clinton C. Crete, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 Peck Hill Rd, Johnston, RI 02919 Phone: 401-533-4909
John Matthew Campopiano, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1395 Atwood Ave, Johnston, RI 02919 Phone: 401-345-1650
Ellen Fitzgerald-mccallum, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1443 Hartford Ave, Johnston, RI 02919 Phone: 401-273-8100 Fax: 401-861-8696
Alicia Ead, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1443 Hartford Ave, Johnston, RI 02919 Phone: 401-556-1149
Kendra Dimino, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1524 Atwood Ave, Suite 213, Johnston, RI 02919 Phone: 401-351-0400 Fax: 401-351-0410

Mr Timothy M Wade Jr, LICSW - Medicare Clinical Social Worker in Johnston, RI