Wendi Lee Witherell, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Redlands, California. Her current practice location is
1260 E Lugonia Ave Apt F, Redlands, California. You can reach out to her office (for appointments etc.) via phone at
(909) 654-2245.
Wendi Lee Witherell is licensed to practice in California (license number 127553) 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 1134695604.
Healthcare Provider's Profile
| Full Name | Wendi Lee Witherell |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1260 E Lugonia Ave Apt F, Redlands, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134695604
- Provider Enumeration Date: 10/22/2018
- Last Update Date: 01/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 1052831070
- Enrollment ID: I20250220003615
Medical Identifiers
Medical identifiers for Wendi Lee Witherell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134695604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 127553 (California) | 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. Wendi Lee Witherell allows following entities to bill medicare on her behalf.
| Entity Name | Sud Specialty Group - Ca |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972138238
PECOS PAC ID: 9537534177
Enrollment ID: O20230412001370 |
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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. Wendi Lee Witherell 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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Wendi Lee Witherell, LCSW
13340 California St Ste F,
Yucaipa, CA 92399-5169
Ph: (909) 280-2924 | Wendi Lee Witherell, LCSW
1260 E Lugonia Ave Apt F,
Redlands, CA 92374-2610
Ph: (909) 654-2245 |
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