Jennifer Ann Nicola, LCSWA in Jacksonville, NC - Medicare Social Worker Provider

Jennifer Ann Nicola, LCSWA is a medicare enrolled "Social Worker - Clinical" provider in Jacksonville, North Carolina. Her current practice location is 200 Tarpon Trl, Jacksonville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 910-1114.

Jennifer Ann Nicola is licensed to practice in * (Not Available) (license number ) 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 1285107615.

Contact Information

	Jennifer Ann Nicola, LCSWA
	200 Tarpon Trl, Jacksonville, NC 28546-5287
	(910) 910-1114
	(910) 938-1118

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Ann Nicola
Gender	Female
Speciality	Social Worker - Clinical
Location	200 Tarpon Trl, Jacksonville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285107615
Provider Enumeration Date: 01/08/2019
Last Update Date: 03/15/2021

Medicare PECOS Information:

PECOS PAC ID: 8022465855
Enrollment ID: I20231115002701

Medical Identifiers

Medical identifiers for Jennifer Ann Nicola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285107615	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary
101Y00000X	Counselor	(* (Not Available))	Secondary

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. Jennifer Ann Nicola allows following entities to bill medicare on her behalf.

Entity Name	Bridgeway Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578677076 PECOS PAC ID: 0446153084 Enrollment ID: O20040130000128

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. Jennifer Ann Nicola 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
Jennifer Ann Nicola, LCSWA 200 Tarpon Trl, Jacksonville, NC 28546-5287 Ph: (910) 938-1114	Jennifer Ann Nicola, LCSWA 200 Tarpon Trl, Jacksonville, NC 28546-5287 Ph: (910) 910-1114

Reviews and Comments

Social Worker in Jacksonville, NC

Jessica Smith, MSW,LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-5118
Amanda Ashley Manning, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Tarpon Trl, Jacksonville, NC 28546 Phone: 910-938-1114 Fax: 910-938-1118
Elise Cowart, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 445 Western Blvd Ste Q, Jacksonville, NC 28546 Phone: 910-858-5848
Portia Adams, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Branchwood Dr Ste B, Jacksonville, NC 28546 Phone: 910-938-9833
Ms. Tatianna Brooks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 231 New Bridge St, Jacksonville, NC 28540 Phone: 910-915-9155 Fax: 910-939-5484
Nicole Marie Polidoro, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Tarpon Trl, Jacksonville, NC 28546 Phone: 910-938-1114 Fax: 910-938-1118
Shirby Durant, LCSWA, LCASA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 231 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-5354

Jennifer Ann Nicola, LCSWA - Medicare Clinical Social Worker in Jacksonville, NC