Natalie Grace Wigle, LCSW in Johnson City, TN - Medicare Clinical Social Worker Provider

Natalie Grace Wigle, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Johnson City, Tennessee. She went to East Tennessee State University Quillen College Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Revitalist, Revitalist, Valor Health Solutions, Valor Health Solutions and her current practice location is 508 Princeton Rd Ste 403, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (888) 214-2144.

Natalie Grace Wigle is licensed to practice in Tennessee (license number LSW0000007194) 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 1710522636.

Contact Information

	Natalie Grace Wigle, LCSW
	508 Princeton Rd Ste 403, Johnson City, TN 37601-2064
	(888) 214-2144
	(866) 693-2298

Map and Direction

Healthcare Provider's Profile

Full Name	Natalie Grace Wigle
Gender	Female
Speciality	Clinical Social Worker
Experience	10 Years
Location	508 Princeton Rd Ste 403, Johnson City, Tennessee
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:

Natalie Grace Wigle attended and graduated from East Tennessee State University Quillen College Of Medicine in 2016

NPI Data:

NPI Number: 1710522636
Provider Enumeration Date: 11/14/2019
Last Update Date: 05/22/2026

Medicare PECOS Information:

PECOS PAC ID: 6103242029
Enrollment ID: I20200821001581

Medical Identifiers

Medical identifiers for Natalie Grace Wigle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710522636	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LSW0000007194 (Tennessee)	Primary
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Revitalist	6800295650	5
Revitalist	6800295650	5
Valor Health Solutions	3375036924	2
Valor Health Solutions	3375036924	2

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. Natalie Grace Wigle allows following entities to bill medicare on her behalf.

Entity Name	East Tennessee State University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093990608 PECOS PAC ID: 2769394774 Enrollment ID: O20031212000403

Entity Name	Revitalist
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073168241 PECOS PAC ID: 6800295650 Enrollment ID: O20210527000088

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. Natalie Grace Wigle 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
Natalie Grace Wigle, LCSW 119 Mandolin Dr, Winter Haven, FL 33884-3581 Ph: (888) 214-2144	Natalie Grace Wigle, LCSW 508 Princeton Rd Ste 403, Johnson City, TN 37601-2064 Ph: (888) 214-2144

Reviews and Comments

Social Worker in Johnson City, TN

Mrs. Krysten Kelch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 E Myrtle Ave Ste 300, Johnson City, TN 37601 Phone: 423-461-0015
Nikita Marie Thompson, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 917 W Walnut St, Johnson City, TN 37604 Phone: 423-439-6464 Fax: 423-439-7118
Deborah Ann Thibeault, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343
Mr. Jay Richard Shilling, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1416 S Roan St, Oaks Castle Clinic, Johnson City, TN 37601 Phone: 423-979-6257
Amy Michelle Roberts, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1211 King Springs Rd Apt 606, Johnson City, TN 37601 Phone: 423-946-4938
Benton W Ashe, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 109 W Watauga Ave, Johnson City, TN 37604 Phone: 423-232-2600 Fax: 423-232-2616
Sarah Mccray, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2112 N Roan St Ste 300, Johnson City, TN 37601 Phone: 865-588-3173 Fax: 865-244-3579

Natalie Grace Wigle, LCSW - Medicare Clinical Social Worker in Johnson City, TN