Charles Wichman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Evansville, Indiana. He graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Deaconess Hospital, Inc. and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235539495.
Healthcare Provider's Profile
| Full Name | Charles Wichman |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 7 Years |
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| Location | 655 S Hebron Ave, Evansville, Indiana |
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| Accepts Medicare Assignments | Yes. He 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:
- Charles Wichman graduated from medical school in 2019
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 |
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| 1235539495 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 372600000X | Adult Companion | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Deaconess Hospital, Inc. | 9032021431 | 382 |
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 |
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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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