Mrs Tracylynn Huntley Wickham, LCSW in Richmond, VA - Medicare Clinical Social Worker Provider

Mrs Tracylynn Huntley Wickham, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Richmond, Virginia. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Dominion Outpatient Services Llc and her current practice location is 5412 Glenside Dr Ste F, Richmond, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 282-5880.

Mrs Tracylynn Huntley Wickham is licensed to practice in Virginia (license number 0904006713) 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 1194003459.

Contact Information

	Mrs Tracylynn Huntley Wickham, LCSW
	5412 Glenside Dr Ste F, Richmond, VA 23228-3995
	(804) 282-5880
	(804) 288-2029

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tracylynn Huntley Wickham
Gender	Female
Speciality	Clinical Social Worker
Experience	20 Years
Location	5412 Glenside Dr Ste F, Richmond, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Tracylynn Huntley Wickham graduated from medical school in 2004

NPI Data:

NPI Number: 1194003459
Provider Enumeration Date: 08/03/2011
Last Update Date: 09/04/2019

Medicare PECOS Information:

PECOS PAC ID: 7618140047
Enrollment ID: I20111101000249

Medical Identifiers

Medical identifiers for Mrs Tracylynn Huntley Wickham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194003459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904006713 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dominion Outpatient Services Llc	5395996920	4

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. Mrs Tracylynn Huntley Wickham allows following entities to bill medicare on her behalf.

Entity Name	Dominion Outpatient Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790932911 PECOS PAC ID: 5395996920 Enrollment ID: O20121108000104

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. Mrs Tracylynn Huntley Wickham 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
Mrs Tracylynn Huntley Wickham, LCSW 1640 E Parham Rd, Richmond, VA 23228-2368 Ph: (804) 272-2000	Mrs Tracylynn Huntley Wickham, LCSW 5412 Glenside Dr Ste F, Richmond, VA 23228-3995 Ph: (804) 282-5880

Reviews and Comments

Social Worker in Richmond, VA

Mr. J. Patrick Slifka, LCSW, CAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5002 Monument Avenue Suite 201, Richmond, VA 23230 Phone: 804-497-4676 Fax: 804-497-4677
Mrs. Hope L. Helton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 720 Moorefield Park Dr, Suite 202, Richmond, VA 23236 Phone: 804-272-7611 Fax: 804-560-5574
Kristi Difilippo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9515 Catesby Ln, Richmond, VA 23238 Phone: 804-741-7500 Fax: 804-741-7900
Richara Shepperson-turner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 N Ninth St, Richmond, VA 23219 Phone: 804-780-7312
Sarah Metz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3900 W Broad St, Richmond, VA 23230 Phone: 804-353-4461
Kimberly Embe-mamong, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 41 Loudon St, Richmond, VA 23222 Phone: 540-246-5536
Katherine Odette Meyersohn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1503 Brookland Pkwy, Richmond, VA 23227 Phone: 804-833-8776 Fax: 804-254-2024

Mrs Tracylynn Huntley Wickham, LCSW - Medicare Clinical Social Worker in Richmond, VA