Ty Wakefield, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Aurora, Illinois. He graduated from healthcare school in 2016 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Genesis Health System and his current practice location is
75 Executive Dr Ste 315d, Aurora, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 949-3138.
Ty Wakefield is licensed to practice in Illinois (license number 149.019991) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386005338.
Healthcare Provider's Profile
| Full Name | Ty Wakefield |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 9 Years |
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| Location | 75 Executive Dr Ste 315d, Aurora, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ty Wakefield graduated from medical school in 2016
NPI Data:
- NPI Number: 1386005338
- Provider Enumeration Date: 03/17/2016
- Last Update Date: 04/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931461209
- Enrollment ID: I20180326002122
Medical Identifiers
Medical identifiers for Ty Wakefield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386005338 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 174H00000X | Health Educator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.019991 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Genesis Health System | 7214841436 | 187 |
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. Ty Wakefield allows following entities to bill medicare on his behalf.
| Entity Name | Genesis Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477654945
PECOS PAC ID: 7214841436
Enrollment ID: O20031113000044 |
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| Entity Name | Vera French Community Mental Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245291129
PECOS PAC ID: 6103715214
Enrollment ID: O20040315000814 |
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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. Ty Wakefield 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 |
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Ty Wakefield, LCSW
1605 2nd Ave,
Rock Island, IL 61201-8601
Ph: () - | Ty Wakefield, LCSW
75 Executive Dr Ste 315d,
Aurora, IL 60504-8142
Ph: (630) 949-3138 |
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