Tyler Thompson Smith, LCSW in Juneau, WI - Medicare Social Worker Provider

Tyler Thompson Smith, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Juneau, Wisconsin. His current practice location is 199 County Df, Juneau, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 386-3500.

Tyler Thompson Smith is licensed to practice in Wisconsin (license number 12097-123) 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 1093401929.

Contact Information

	Tyler Thompson Smith, LCSW
	199 County Df, Juneau, WI 53039-9512
	(920) 386-3500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Thompson Smith
Gender	Male
Speciality	Social Worker - Clinical
Location	199 County Df, Juneau, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093401929
Provider Enumeration Date: 04/13/2023
Last Update Date: 02/26/2025

Medicare PECOS Information:

PECOS PAC ID: 4587187836
Enrollment ID: I20250327003080

Medical Identifiers

Medical identifiers for Tyler Thompson Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093401929	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	12097-123 (Wisconsin)	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. Tyler Thompson Smith allows following entities to bill medicare on his behalf.

Entity Name	County Of Dodge
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871508515 PECOS PAC ID: 2466475587 Enrollment ID: O20060104000398

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. Tyler Thompson Smith 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
Tyler Thompson Smith, LCSW 504 Midge St, Johnson Creek, WI 53038 Ph: () -	Tyler Thompson Smith, LCSW 199 County Df, Juneau, WI 53039-9512 Ph: (920) 386-3500

Reviews and Comments

Social Worker in Juneau, WI

Mrs. Vonne Mary Meussling-barnett, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 199 County Road Df Fl 3, Juneau, WI 53039 Phone: 920-386-4094 Fax: 920-386-3812
Emily Ann Johnson, LCSW, SAC-IT Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 199 County Road Df, Juneau, WI 53039 Phone: 920-386-4094
Rayna Schraeder, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 199 County Road Df, Juneau, WI 53039 Phone: 920-386-3807 Fax: 920-386-3812
Melissa Rose Josie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 199 Home Rd, Hdob Clinical Services, Juneau, WI 53039 Phone: 920-386-3500 Fax: 920-386-3812

Tyler Thompson Smith, LCSW - Medicare Clinical Social Worker in Juneau, WI