Amy Wondra, is a medicare enrolled "Social Worker - Clinical" provider in Shawano, Wisconsin. She graduated from healthcare school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Thedacare Incorporated and her current practice location is
100 County Road B, Shawano, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 723-2300.
Amy Wondra is licensed to practice in Wisconsin (license number 9038) 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 1346643426.
Healthcare Provider's Profile
| Full Name | Amy Wondra |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 10 Years |
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| Location | 100 County Road B, Shawano, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amy Wondra graduated from medical school in 2014
NPI Data:
- NPI Number: 1346643426
- Provider Enumeration Date: 10/02/2014
- Last Update Date: 02/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 6204148539
- Enrollment ID: I20150630000279
Medical Identifiers
Medical identifiers for Amy Wondra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346643426 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15612-132 (Wisconsin) | Secondary |
| 104100000X | Social Worker | 9038 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 9038 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Thedacare Incorporated | 1759294887 | 493 |
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. Amy Wondra allows following entities to bill medicare on her behalf.
| Entity Name | Thedacare Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088 |
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| Entity Name | County Of Shawano |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497896641
PECOS PAC ID: 3779594874
Enrollment ID: O20111227000666 |
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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. Amy Wondra 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 |
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Amy Wondra,
3 Neenah Ctr,
Neenah, WI 54956-3070
Ph: (920) 720-2300 | Amy Wondra,
100 County Road B,
Shawano, WI 54166-7072
Ph: (920) 723-2300 |
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