Phillip Edward Archibald, LCSW - Medicare Clinical Social Worker in Thermopolis, WY

Phillip Edward Archibald, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Thermopolis, Wyoming. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Bear Lake Community Health Center, Inc and his current practice location is 121 S 4th St, Thermopolis, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 864-3138.

Phillip Edward Archibald is licensed to practice in Wyoming (license number LCSW-1081) 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 1396103487.

Contact Information

Phillip Edward Archibald, LCSW
121 S 4th St,
Thermopolis, WY 82443-2634
(307) 864-3138
(307) 864-3139



Healthcare Provider's Profile

Full NamePhillip Edward Archibald
GenderMale
SpecialityClinical Social Worker
Experience9 Years
Location121 S 4th St, Thermopolis, Wyoming
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Phillip Edward Archibald graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1396103487
  • Provider Enumeration Date: 02/03/2016
  • Last Update Date: 12/11/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1355671249
  • Enrollment ID: I20191015000616

Medical Identifiers

Medical identifiers for Phillip Edward Archibald such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396103487NPI-NPPES
143715100MedicaidWY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical LCSW-1081 (Wyoming)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bear Lake Community Health Center, Inc903202003716

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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. Phillip Edward Archibald allows following entities to bill medicare on his behalf.
Entity NameBear Lake Community Health Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629309786
PECOS PAC ID: 9032020037
Enrollment ID: O20151125001269

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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. Phillip Edward Archibald 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
Phillip Edward Archibald, LCSW
121 S 4th St,
Thermopolis, WY 82443-2634

Ph: (307) 864-3138
Phillip Edward Archibald, LCSW
121 S 4th St,
Thermopolis, WY 82443-2634

Ph: (307) 864-3138

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Social Worker in Thermopolis, WY

Tonja L Casciato, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 640 Fremont St, Thermopolis, WY 82443
Phone: 307-864-3211    Fax: 307-864-3267
Violet M Goodwine, M.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 121 S 4th St, Thermopolis, WY 82443
Phone: 307-864-3138    Fax: 307-864-3139

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