Mary Allen, LCSW in Stoughton, WI - Medicare Social Worker Provider

Mary Allen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Stoughton, Wisconsin. Her current practice location is 113 E Main St, Stoughton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 449-7201.

Mary Allen is licensed to practice in California (license number LCS29109) 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 1659500882.

Contact Information

	Mary Allen, LCSW
	113 E Main St, Stoughton, WI 53589-1720
	(608) 449-7201
	Not Available

Healthcare Provider's Profile

Full Name	Mary Allen
Gender	Female
Speciality	Social Worker - Clinical
Location	113 E Main St, Stoughton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659500882
Provider Enumeration Date: 07/09/2009
Last Update Date: 04/09/2020

Medicare PECOS Information:

PECOS PAC ID: 3779721618
Enrollment ID: I20130604000670

Medical Identifiers

Medical identifiers for Mary Allen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659500882	NPI	-	NPPES
16-59500882	Medicaid	WI
HE611A	Other	CA	MEDICARE PART B PROVIDER PTAN
LCSW 8198-123	Other	WI	STATE OF WISC-DEPT OF SAFETY & PROFESSIONAL SERVICES
LCS29109	Other	CA	BOARD OF BEHAVIORAL SCIENCE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	8198-123 (Wisconsin)	Secondary
1041C0700X	Social Worker - Clinical	LCS29109 (California)	Primary

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. Mary Allen 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
Mary Allen, LCSW 113 E Main St, Stoughton, WI 53589-1720 Ph: (608) 449-7201	Mary Allen, LCSW 113 E Main St, Stoughton, WI 53589-1720 Ph: (608) 449-7201

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Social Worker in Stoughton, WI

Mr. David W Druckenbrod, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1520 Vernon St, Stoughton, WI 53589 Phone: 608-873-6422
Jean Ligocki, MSW, LCSW, CT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 Giles St, Stoughton, WI 53589 Phone: 608-572-3469
Jeffrey L Brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1520 Vernon St, Stoughton, WI 53589 Phone: 608-873-1844 Fax: 608-873-6014
Ms. Nancy A Shorrock, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1520 Vernon St, Stoughton, WI 53589 Phone: 608-873-6422
Aaron Samuel Hagedon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Business Park Cir Ste 202, Stoughton, WI 53589 Phone: 608-698-2744
Michael Vienneau, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Business Park Cir Ste 201, Stoughton, WI 53589 Phone: 608-445-0673

Mary Allen, LCSW - Medicare Clinical Social Worker in Stoughton, WI