Wyatt Thomas, in Roseville, MN - Medicare Social Worker Provider

Wyatt Thomas, is a medicare enrolled "Social Worker - Clinical" provider in Roseville, Minnesota. His current practice location is 1700 Highway 36 W Ste 130, Roseville, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 460-9003.

Wyatt Thomas is licensed to practice in Minnesota (license number 28233) 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 1194488080.

Contact Information

	Wyatt Thomas,
	1700 Highway 36 W Ste 130, Roseville, MN 55113-4054
	(952) 460-9003
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Wyatt Thomas
Gender	Male
Speciality	Social Worker - Clinical
Location	1700 Highway 36 W Ste 130, Roseville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194488080
Provider Enumeration Date: 10/18/2021
Last Update Date: 10/18/2021

Medicare PECOS Information:

PECOS PAC ID: 4385012368
Enrollment ID: I20221122003215

Medical Identifiers

Medical identifiers for Wyatt Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194488080	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	28233 (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. Wyatt Thomas allows following entities to bill medicare on his behalf.

Entity Name	Mental Health Systems, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497835656 PECOS PAC ID: 5496710790 Enrollment ID: O20041129000593

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. Wyatt Thomas 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
Wyatt Thomas, 1700 Highway 36 W Ste 130, Roseville, MN 55113-4054 Ph: () -	Wyatt Thomas, 1700 Highway 36 W Ste 130, Roseville, MN 55113-4054 Ph: (952) 460-9003

Reviews and Comments

Social Worker in Roseville, MN

Andrea Mccormick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2277 Highway 36 W Ste 310, Roseville, MN 55113 Phone: 651-252-7755 Fax: 612-331-3520
Lisa M Borneman, DSW, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2233 Hamline Ave N Ste 512, Roseville, MN 55113 Phone: 651-690-6721
Jean Gregg, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2233 Hamline Ave N Ste 435, Roseville, MN 55113 Phone: 651-216-1935
Errin Marie Musich, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2277 Highway 36 W Ste 160, Roseville, MN 55113 Phone: 763-575-8086
Cimena Gordon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2277 Highway 36 W, Suite 310, Roseville, MN 55113 Phone: 651-224-2172
Samantha Oren, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Snelling Ave N Ste 400, Roseville, MN 55113 Phone: 763-210-4698
Laura Lyman, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Snelling Ave N Ste 400, Roseville, MN 55113 Phone: 763-525-9919 Fax: 763-486-4436

Wyatt Thomas, - Medicare Clinical Social Worker in Roseville, MN