Audra A Eggum, LCSW - Medicare Clinical Social Worker in Winneconne, WI

Audra A Eggum, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Winneconne, Wisconsin. Her current practice location is 140 W Main St, Suite A, Winneconne, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 582-4000.

Audra A Eggum is licensed to practice in Wisconsin (license number 7281-123) 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 1457566689.

Contact Information

Audra A Eggum, LCSW
140 W Main St, Suite A,
Winneconne, WI 54986-9409
(920) 582-4000
Not Available



Healthcare Provider's Profile

Full NameAudra A Eggum
GenderFemale
SpecialitySocial Worker - Clinical
Location140 W Main St, Winneconne, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457566689
  • Provider Enumeration Date: 05/11/2007
  • Last Update Date: 01/25/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1951719558
  • Enrollment ID: I20210420002516

Medical Identifiers

Medical identifiers for Audra A Eggum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457566689NPI-NPPES
40923500MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 1556-121 (Wisconsin)Secondary
1041C0700XSocial Worker - Clinical 7281-123 (Wisconsin)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. Audra A Eggum allows following entities to bill medicare on her behalf.
Entity NameSherman Counseling Management Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235251349
PECOS PAC ID: 8921338187
Enrollment ID: O20191001002490

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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. Audra A Eggum 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 AddressPractice Location Address
Audra A Eggum, LCSW
Po Box 486, 140 W Main,
Winneconne, WI 54986-0486

Ph: (920) 582-4000
Audra A Eggum, LCSW
140 W Main St, Suite A,
Winneconne, WI 54986-9409

Ph: (920) 582-4000

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Social Worker in Winneconne, WI


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