Trever Jaymes Allcock, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Appleton, Wisconsin. His current practice location is
320 S. Walnut St., Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 832-5270.
Trever Jaymes Allcock is licensed to practice in * (Not Available) (license number 11488-123) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679114136.
Healthcare Provider's Profile
Full Name | Trever Jaymes Allcock |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 320 S. Walnut St., Appleton, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679114136
- Provider Enumeration Date: 10/04/2019
- Last Update Date: 12/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456871128
- Enrollment ID: I20250225001903
Medical Identifiers
Medical identifiers for Trever Jaymes Allcock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679114136 | NPI | - | NPPES |
100094722 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 11469-123 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 11488-123 (* (Not Available)) | 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. Trever Jaymes Allcock allows following entities to bill medicare on his behalf.
Entity Name | County Of Outagamie |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629138995 PECOS PAC ID: 7517930019 Enrollment ID: O20040813000471 |
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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. Trever Jaymes Allcock 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 |
Trever Jaymes Allcock, LCSW 320 S. Walnut St., Appleton, WI 54911-5918 Ph: (920) 832-5270 | Trever Jaymes Allcock, LCSW 320 S. Walnut St., Appleton, WI 54911-5918 Ph: (920) 832-5270 |
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