Calvin Wiese, LCSW is a medicare enrolled "Social Worker" provider in Tucson, Arizona. His current practice location is
4175 S Alamo Ave, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 228-2615.
Calvin Wiese is licensed to practice in Massachusetts (license number 121574) 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 1821654518.
Healthcare Provider's Profile
| Full Name | Calvin Wiese |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 4175 S Alamo Ave, Tucson, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821654518
- Provider Enumeration Date: 05/17/2019
- Last Update Date: 08/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951723303
- Enrollment ID: I20200612000954
Medical Identifiers
Medical identifiers for Calvin Wiese such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821654518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 121574 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | 42779 (Montana) | Secondary |
| 104100000X | Social Worker | 121574 (Massachusetts) | 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. Calvin Wiese allows following entities to bill medicare on his behalf.
| Entity Name | Gabert Medical Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336158930
PECOS PAC ID: 2668385402
Enrollment ID: O20031107000648 |
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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. Calvin Wiese 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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Calvin Wiese, LCSW
4175 S Alamo Ave,
Tucson, AZ 85707-4402
Ph: (520) 228-2615 | Calvin Wiese, LCSW
4175 S Alamo Ave,
Tucson, AZ 85707-4402
Ph: (520) 228-2615 |
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