Mrs Jodi L Wiman, MA is a medicare enrolled "Counselor - Professional" provider in Oblong, Illinois. She graduated from healthcare school in 2002 and has 24 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Edgewood Clinical Services P.c. and her current practice location is
103 W Main St, Suite 5, Oblong, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 592-3116.
Mrs Jodi L Wiman is licensed to practice in Illinois (license number 180.006960) 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 1356539316.
Healthcare Provider's Profile
| Full Name | Mrs Jodi L Wiman |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 24 Years |
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| Location | 103 W Main St, Oblong, Illinois |
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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. |
Medical Education and Training:
- Mrs Jodi L Wiman graduated from medical school in 2002
NPI Data:
- NPI Number: 1356539316
- Provider Enumeration Date: 10/04/2007
- Last Update Date: 08/23/2010
Medicare PECOS Information:
- PECOS PAC ID: 4587017595
- Enrollment ID: I20240125004220
Medical Identifiers
Medical identifiers for Mrs Jodi L Wiman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356539316 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 180.006960 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Edgewood Clinical Services P.c. | 3971963901 | 190 |
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. Mrs Jodi L Wiman allows following entities to bill medicare on her behalf.
| Entity Name | Edgewood Clinical Services P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
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| Entity Name | Pivot Counseling & Consulting, Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386457026 PECOS PAC ID: 8224555842 Enrollment ID: O20250507002233 |
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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. Mrs Jodi L Wiman 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 |
Mrs Jodi L Wiman, MA 103 W Main St, Suite 5, Oblong, IL 62449-1165 Ph: (618) 592-3116 | Mrs Jodi L Wiman, MA 103 W Main St, Suite 5, Oblong, IL 62449-1165 Ph: (618) 592-3116 |
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