Phillip Edward Archibald, LCSW in Thermopolis, WY - Medicare Social Worker Provider

Phillip Edward Archibald, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Thermopolis, Wyoming. His current practice location is 121 S 4th St, Thermopolis, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 864-3138.

Phillip Edward Archibald is licensed to practice in Wyoming (license number LCSW-1081) 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 1396103487.

Contact Information

	Phillip Edward Archibald, LCSW
	121 S 4th St, Thermopolis, WY 82443-2634
	(307) 864-3138
	(307) 864-3139

Map and Direction

Healthcare Provider's Profile

Full Name	Phillip Edward Archibald
Gender	Male
Speciality	Social Worker - Clinical
Location	121 S 4th St, Thermopolis, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396103487
Provider Enumeration Date: 02/03/2016
Last Update Date: 12/11/2017

Medicare PECOS Information:

PECOS PAC ID: 1355671249
Enrollment ID: I20190918003277

Medical Identifiers

Medical identifiers for Phillip Edward Archibald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396103487	NPI	-	NPPES
143715100	Medicaid	WY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-1081 (Wyoming)	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. Phillip Edward Archibald allows following entities to bill medicare on his behalf.

Entity Name	Bear Lake Community Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689754475 PECOS PAC ID: 9032020037 Enrollment ID: O20040110000158

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. Phillip Edward Archibald 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
Phillip Edward Archibald, LCSW 121 S 4th St, Thermopolis, WY 82443-2634 Ph: (307) 864-3138	Phillip Edward Archibald, LCSW 121 S 4th St, Thermopolis, WY 82443-2634 Ph: (307) 864-3138

Reviews and Comments

Social Worker in Thermopolis, WY

Tonja L Casciato, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 640 Fremont St, Thermopolis, WY 82443 Phone: 307-864-3211 Fax: 307-864-3267
Miranda Nelson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 645 Clark St, Thermopolis, WY 82443 Phone: 307-277-7731
Violet M Goodwine, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 121 S 4th St, Thermopolis, WY 82443 Phone: 307-864-3138 Fax: 307-864-3139

Phillip Edward Archibald, LCSW - Medicare Clinical Social Worker in Thermopolis, WY