Patricia Karen Gumz, APSW - Medicare Counselor in Wausau, WI

Patricia Karen Gumz, APSW is a medicare enrolled "Social Worker" provider in Wausau, Wisconsin. Her current practice location is 731 N. 1st St, Suite 5000, Optional, Wausau, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 675-3458.

Patricia Karen Gumz is licensed to practice in Wisconsin (license number 129061) 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 1558914085.

Contact Information

Patricia Karen Gumz, APSW
731 N. 1st St, Suite 5000, Optional,
Wausau, WI 54403-4727
(715) 675-3458
(715) 675-7238

Map and Direction


Healthcare Provider's Profile

Full NamePatricia Karen Gumz
GenderFemale
SpecialitySocial Worker
Location731 N. 1st St, Suite 5000, Wausau, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558914085
  • Provider Enumeration Date: 07/23/2019
  • Last Update Date: 06/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2264809599
  • Enrollment ID: I20221031000310

Medical Identifiers

Medical identifiers for Patricia Karen Gumz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558914085NPI-NPPES
129061OtherWIAPSW LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 19066-130 (Wisconsin)Secondary
104100000XSocial Worker 129061 (Wisconsin)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. Patricia Karen Gumz allows following entities to bill medicare on her behalf.
Entity NameBehavioral Health Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831442359
PECOS PAC ID: 8628409885
Enrollment ID: O20200504002000

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. Patricia Karen Gumz 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 AddressPractice Location Address
Patricia Karen Gumz, APSW
731 N. 1st St, Suite 5000, Optional,
Wausau, WI 54403-4727

Ph: (715) 675-3458
Patricia Karen Gumz, APSW
731 N. 1st St, Suite 5000, Optional,
Wausau, WI 54403-4727

Ph: (715) 675-3458

Reviews and Comments


Social Worker in Wausau, WI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.