Wendi Lee Witherell, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Redlands, California. She graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sud Specialty Group - Ca and 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
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 1134695604.
Healthcare Provider's Profile
| Full Name | Wendi Lee Witherell |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 4 Years |
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| Location | 1260 E Lugonia Ave Apt F, Redlands, California |
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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. |
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Medical Education and Training:
- Wendi Lee Witherell graduated from medical school in 2022
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sud Specialty Group - Ca | 9537534177 | 456 |
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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