Mrs Kelly Hannon Nichols, LCSW-R in Fayetteville, NY - Medicare Clinical Social Worker Provider

Mrs Kelly Hannon Nichols, LCSW-R is a medicare enrolled "Social Worker - Clinical" provider in Fayetteville, New York. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Psychological Healthcare Pllc and her current practice location is 215 Dawley Rd, Fayetteville, New York. You can reach out to her office (for appointments etc.) via phone at (315) 420-6293.

Mrs Kelly Hannon Nichols is licensed to practice in New York (license number 73070425) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649640764.

Contact Information

	Mrs Kelly Hannon Nichols, LCSW-R
	215 Dawley Rd, Fayetteville, NY 13066-2546
	(315) 420-6293
	(315) 637-7576

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kelly Hannon Nichols
Gender	Female
Speciality	Clinical Social Worker
Experience	23 Years
Location	215 Dawley Rd, Fayetteville, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kelly Hannon Nichols graduated from medical school in 2001

NPI Data:

NPI Number: 1649640764
Provider Enumeration Date: 10/01/2015
Last Update Date: 10/01/2015

Medicare PECOS Information:

PECOS PAC ID: 8426339482
Enrollment ID: I20170105001080

Medical Identifiers

Medical identifiers for Mrs Kelly Hannon Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649640764	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	73070425 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Psychological Healthcare Pllc	7416860572	31

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. Mrs Kelly Hannon Nichols allows following entities to bill medicare on her behalf.

Entity Name	Psychological Healthcare Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922109578 PECOS PAC ID: 7416860572 Enrollment ID: O20040317000828

Entity Name	Psychiatry Services Of New York, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013781871 PECOS PAC ID: 9133534340 Enrollment ID: O20210222001872

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. Mrs Kelly Hannon Nichols 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
Mrs Kelly Hannon Nichols, LCSW-R 215 Dawley Rd, Fayetteville, NY 13066-2546 Ph: (315) 420-6293	Mrs Kelly Hannon Nichols, LCSW-R 215 Dawley Rd, Fayetteville, NY 13066-2546 Ph: (315) 420-6293

Reviews and Comments

Social Worker in Fayetteville, NY

Christopher P. Cederquist, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6836 E Genesee St, Fayetteville, NY 13066 Phone: 315-440-3166
Mr. Terry L Twichell, MSW LCSWR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 312 Elm St, Fayetteville, NY 13066 Phone: 315-476-4050 Fax: 315-425-7268
Mrs. Stacy Marie Davison, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 600 Walnut St, Fayetteville, NY 13066 Phone: 315-243-2475
Ms. Robin Gail Kasowitz, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7000 E Genesee St, Building B, Fayetteville, NY 13066 Phone: 315-382-1978
Mr. Alan Ariel Andrews, PSY.D., DCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7000 E Genesee St, Fayetteville, NY 13066 Phone: 315-446-4122 Fax: 315-701-2951
Carole S. Bragdon, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6838 E Genesee St, Fayetteville, NY 13066 Phone: 315-449-3925
Dr. Joseph C Gazzini, PHD LCSW BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 312 Elm St, Fayetteville, NY 13066 Phone: 315-476-4050 Fax: 315-425-7268

Mrs Kelly Hannon Nichols, LCSW-R - Medicare Clinical Social Worker in Fayetteville, NY