Mrs Nicole Gauthier, LCSW in South Bend, IN - Medicare Social Worker Provider

Mrs Nicole Gauthier, LCSW is a medicare enrolled "Social Worker - Clinical" provider in South Bend, Indiana. Her current practice location is 1815 E Ireland Rd, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-1700.

Mrs Nicole Gauthier is licensed to practice in Indiana (license number 34008723A) 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 1790546653.

Contact Information

	Mrs Nicole Gauthier, LCSW
	1815 E Ireland Rd, South Bend, IN 46614-2845
	(574) 647-1700
	(574) 647-7572

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nicole Gauthier
Gender	Female
Speciality	Social Worker - Clinical
Location	1815 E Ireland Rd, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790546653
Provider Enumeration Date: 01/18/2024
Last Update Date: 04/02/2024

Medicare PECOS Information:

PECOS PAC ID: 6709223340
Enrollment ID: I20240319002204

Medical Identifiers

Medical identifiers for Mrs Nicole Gauthier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790546653	NPI	-	NPPES
300087542	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34008723A (Indiana)	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. Mrs Nicole Gauthier allows following entities to bill medicare on her behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

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 Nicole Gauthier 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 Nicole Gauthier, LCSW 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-1840	Mrs Nicole Gauthier, LCSW 1815 E Ireland Rd, South Bend, IN 46614-2845 Ph: (574) 647-1700

Reviews and Comments

Social Worker in South Bend, IN

Mrs. Kathy James, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 Lincolnway E, South Bend, IN 46601 Phone: 574-232-2255 Fax: 574-232-8968
Cheryl Quiogue-hunt, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1161
Deborah Helen Miller, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 N Main St, Suite 305, South Bend, IN 46601 Phone: 574-234-3515 Fax: 574-234-3565
Faye Peterson-pottinger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131
Mrs. Olivia George, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 53846 Generations Dr Ste A, South Bend, IN 46635 Phone: 574-276-7366
Mark V Snell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652
Sarah A Pinter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131

Mrs Nicole Gauthier, LCSW - Medicare Clinical Social Worker in South Bend, IN