Dr Evelyn Wertenberger, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Pueblo, Colorado. She graduated from healthcare school in 1988 and has 38 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sondermind Provider Network Llc and her current practice location is
720 N Main St Ste 240, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 289-8288.
Dr Evelyn Wertenberger is licensed to practice in Colorado (license number CSW.00989693) 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 1265434773.
Healthcare Provider's Profile
| Full Name | Dr Evelyn Wertenberger |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 38 Years |
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| Location | 720 N Main St Ste 240, Pueblo, Colorado |
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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:
- Dr Evelyn Wertenberger graduated from medical school in 1988
NPI Data:
- NPI Number: 1265434773
- Provider Enumeration Date: 08/15/2005
- Last Update Date: 06/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941277255
- Enrollment ID: I20041101000900
Medical Identifiers
Medical identifiers for Dr Evelyn Wertenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265434773 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1127 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.00989693 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sondermind Provider Network Llc | 9537572490 | 874 |
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. Dr Evelyn Wertenberger allows following entities to bill medicare on her behalf.
| Entity Name | Sondermind Provider Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210113002826 |
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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. Dr Evelyn Wertenberger 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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Dr Evelyn Wertenberger, LCSW
Po Box 8181,
Pueblo, CO 81008-8181
Ph: (719) 289-8288 | Dr Evelyn Wertenberger, LCSW
720 N Main St Ste 240,
Pueblo, CO 81003-3046
Ph: (719) 289-8288 |
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