Mr Tobias Allen Wilde Sr, MSW, LICSW in Fargo, ND - Medicare Social Worker Provider

Mr Tobias Allen Wilde Sr, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Fargo, North Dakota. His current practice location is 4422 30th Ave S Apt 309, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (801) 548-8535.

Mr Tobias Allen Wilde Sr is licensed to practice in Minnesota (license number 24970) 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 1770866485.

Contact Information

	Mr Tobias Allen Wilde Sr, MSW, LICSW
	4422 30th Ave S Apt 309, Fargo, ND 58104-8441
	(801) 548-8535
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Tobias Allen Wilde Sr
Gender	Male
Speciality	Social Worker - Clinical
Location	4422 30th Ave S Apt 309, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770866485
Provider Enumeration Date: 09/20/2011
Last Update Date: 02/19/2024

Medicare PECOS Information:

PECOS PAC ID: 5991230781
Enrollment ID: I20241203003266

Medical Identifiers

Medical identifiers for Mr Tobias Allen Wilde Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770866485	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	5797 (North Dakota)	Secondary
1041C0700X	Social Worker - Clinical	24970 (Minnesota)	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 Tobias Allen Wilde Sr allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230310000874

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 Tobias Allen Wilde Sr 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 Tobias Allen Wilde Sr, MSW, LICSW 4422 30th Ave S Apt 309, Fargo, ND 58104-8441 Ph: (801) 548-8535	Mr Tobias Allen Wilde Sr, MSW, LICSW 4422 30th Ave S Apt 309, Fargo, ND 58104-8441 Ph: (801) 548-8535

Reviews and Comments

Social Worker in Fargo, ND

Rachel Marsolek, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 721 1st Ave N, Fargo, ND 58102 Phone: 701-461-7364
Brittany Joy Alexander, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-232-3241
Tracy E Mohn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-3106 Fax: 701-234-3106
Rachel Salquist, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-232-3241
Tracy M Foldesi-penas, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-3100 Fax: 701-234-3120
Lindsey Leigh Krueger, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6046 14th St S, Fargo, ND 58104 Phone: 701-404-0997 Fax: 701-566-8876
Deonne J Varriano, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2624 9th Ave S, Fargo, ND 58103 Phone: 701-298-4500 Fax: 701-298-4400

Mr Tobias Allen Wilde Sr, MSW, LICSW - Medicare Clinical Social Worker in Fargo, ND