Theresa A Wiese, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Washington, Illinois. She graduated from healthcare school in 2014 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Osf Multi-specialty Group and her current practice location is
310 Hillcrest Dr, Washington, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 645-1318.
Theresa A Wiese is licensed to practice in Illinois (license number 149021439) 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 1891750816.
Healthcare Provider's Profile
| Full Name | Theresa A Wiese |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 12 Years |
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| Location | 310 Hillcrest Dr, Washington, 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:
- Theresa A Wiese graduated from medical school in 2014
NPI Data:
- NPI Number: 1891750816
- Provider Enumeration Date: 04/20/2006
- Last Update Date: 04/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 4789040080
- Enrollment ID: I20230511000778
Medical Identifiers
Medical identifiers for Theresa A Wiese such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1891750816 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149021439 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Osf Multi-specialty Group | 3678889789 | 1848 |
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. Theresa A Wiese allows following entities to bill medicare on her behalf.
| Entity Name | Osf Multi-specialty Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
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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. Theresa A Wiese 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 |
Theresa A Wiese, LCSW 310 Hillcrest Dr, Washington, IL 61571-2221 Ph: (309) 645-1318 | Theresa A Wiese, LCSW 310 Hillcrest Dr, Washington, IL 61571-2221 Ph: (309) 645-1318 |
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