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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