Charles Wichman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Evansville, Indiana. His current practice location is
655 S Hebron Ave, Evansville, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 471-1776.
Charles Wichman is licensed to practice in * (Not Available) (license number ) 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 1235539495.
Healthcare Provider's Profile
| Full Name | Charles Wichman |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 655 S Hebron Ave, Evansville, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235539495
- Provider Enumeration Date: 08/25/2014
- Last Update Date: 08/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587048715
- Enrollment ID: I20220907001127
Medical Identifiers
Medical identifiers for Charles Wichman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1235539495 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 372600000X | Adult Companion | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Charles Wichman allows following entities to bill medicare on his behalf.
| Entity Name | Deaconess Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427097443 PECOS PAC ID: 9032021431 Enrollment ID: O20040115000129 |
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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. Charles Wichman 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 |
Charles Wichman, LCSW Po Box 8459, Portland, OR 97207-8459 Ph: (503) 238-0769 | Charles Wichman, LCSW 655 S Hebron Ave, Evansville, IN 47714-4048 Ph: (812) 471-1776 |
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