Ellen Isabelle Nicol, in Evergreen Park, IL - Medicare Social Worker Provider

Ellen Isabelle Nicol, is a medicare enrolled "Social Worker - Clinical" provider in Evergreen Park, Illinois. Her current practice location is 9730 S Western Ave Ste 350, Evergreen Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (855) 284-7483.

Ellen Isabelle Nicol is licensed to practice in Illinois (license number 149024330) 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 1851092100.

Contact Information

	Ellen Isabelle Nicol,
	9730 S Western Ave Ste 350, Evergreen Park, IL 60805-2814
	(855) 284-7483
	(617) 807-0958

Map and Direction

Healthcare Provider's Profile

Full Name	Ellen Isabelle Nicol
Gender	Female
Speciality	Social Worker - Clinical
Location	9730 S Western Ave Ste 350, Evergreen Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851092100
Provider Enumeration Date: 03/14/2023
Last Update Date: 03/14/2023

Medicare PECOS Information:

PECOS PAC ID: 3779958798
Enrollment ID: I20230405001104

Medical Identifiers

Medical identifiers for Ellen Isabelle Nicol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851092100	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149024330 (Illinois)	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. Ellen Isabelle Nicol allows following entities to bill medicare on her behalf.

Entity Name	Thriveworks Clinical - Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164190633 PECOS PAC ID: 6800263823 Enrollment ID: O20221104000575

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. Ellen Isabelle Nicol 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
Ellen Isabelle Nicol, Po Box 748465, Atlanta, GA 30374-8465 Ph: (855) 284-7483	Ellen Isabelle Nicol, 9730 S Western Ave Ste 350, Evergreen Park, IL 60805-2814 Ph: (855) 284-7483

Reviews and Comments

Social Worker in Evergreen Park, IL

Ms. Georgianne M Gerber, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9417 S Turner Ave, Evergreen Park, IL 60805 Phone: 708-346-0252
Mr. Brian C. Gold, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9730 S Western Ave Ste 335, Evergreen Park, IL 60805 Phone: 708-535-7320 Fax: 708-535-7571
Mrs. Tammie Denise Walker, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 9730 S Western Ave, Evergreen Park, IL 60805 Phone: 708-818-8825 Fax: 630-573-2763
Erin Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3502 W 98th St, Evergreen Park, IL 60805 Phone: 708-204-5002
Ms. Denika Mcmillen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2815 W 97th Pl, Evergreen Park, IL 60805 Phone: 773-972-9601
Jena Griffin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3160 W 100th Place, Evergreen Park, IL 60805 Phone: 847-691-4037
Markesha Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9412 S Sacramento Ave, Evergreen Park, IL 60805 Phone: 815-505-0384

Ellen Isabelle Nicol, - Medicare Clinical Social Worker in Evergreen Park, IL