Elizabeth Summer Wigle, in South Daytona, FL - Medicare Counselor Provider

Elizabeth Summer Wigle, is a medicare enrolled "Counselor - Mental Health" provider in South Daytona, Florida. Her current practice location is 2400 S Ridgewood Ave Ste 32, South Daytona, Florida. You can reach out to her office (for appointments etc.) via phone at (347) 362-9548.

Elizabeth Summer Wigle is licensed to practice in Florida (license number MH19802) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376013680.

Contact Information

	Elizabeth Summer Wigle,
	2400 S Ridgewood Ave Ste 32, South Daytona, FL 32119-3073
	(347) 362-9548
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth Summer Wigle
Gender	Female
Speciality	Counselor - Mental Health
Location	2400 S Ridgewood Ave Ste 32, South Daytona, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376013680
Provider Enumeration Date: 11/29/2018
Last Update Date: 08/21/2025

Medicare PECOS Information:

PECOS PAC ID: 1759721418
Enrollment ID: I20240429000283

Medical Identifiers

Medical identifiers for Elizabeth Summer Wigle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376013680	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH19802 (Florida)	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. Elizabeth Summer Wigle allows following entities to bill medicare on her behalf.

Entity Name	Mcr Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213

Entity Name	Balanced Wellbeing Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336513639 PECOS PAC ID: 5193021848 Enrollment ID: O20160307002587

Entity Name	Beth Davalos Counseling Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932760451 PECOS PAC ID: 3375978414 Enrollment ID: O20200117000046

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. Elizabeth Summer Wigle 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
Elizabeth Summer Wigle, 44 Bluebird Ln, Ormond Beach, FL 32174-4203 Ph: (347) 362-9548	Elizabeth Summer Wigle, 2400 S Ridgewood Ave Ste 32, South Daytona, FL 32119-3073 Ph: (347) 362-9548

Reviews and Comments

Counselor in South Daytona, FL

Mr. Marcus Zachariah Folkes, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave, Suite 32, South Daytona, FL 32119 Phone: 386-304-7600
Gay Nibert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave, Suite 32, South Daytona, FL 32119 Phone: 386-304-7600
Terri Lashell Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave Ste 32, South Daytona, FL 32119 Phone: 407-782-7250
Natalie Sheridan, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave, South Daytona, FL 32119 Phone: 386-295-9406
Mrs. Tameria B Vickers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave, South Daytona, FL 32119 Phone: 386-304-7600
Dr. Marie Bracciale, PH.D. , LMFT, CAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Elizabeth Pl, South Daytona, FL 32119 Phone: 386-322-6180 Fax: 386-506-0008
Maysia S Allen, MS, CAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2248 Robinhood Trl, South Daytona, FL 32119 Phone: 386-898-2501

Elizabeth Summer Wigle, - Medicare Counselor in South Daytona, FL