Mrs Nicole Pondillo, LISW in Youngstown, OH - Medicare Clinical Social Worker Provider

Mrs Nicole Pondillo, LISW is a medicare enrolled "Social Worker - Clinical" provider in Youngstown, Ohio. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Osh-oh Physicians Group Pc and her current practice location is 3551 Belmont Ave Ste 19b, Youngstown, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 222-4030.

Mrs Nicole Pondillo is licensed to practice in Ohio (license number I.2002471) 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 1285220913.

Contact Information

	Mrs Nicole Pondillo, LISW
	3551 Belmont Ave Ste 19b, Youngstown, OH 44505-1439
	(330) 222-4030
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nicole Pondillo
Gender	Female
Speciality	Clinical Social Worker
Experience	7 Years
Location	3551 Belmont Ave Ste 19b, Youngstown, Ohio
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 Nicole Pondillo graduated from medical school in 2017

NPI Data:

NPI Number: 1285220913
Provider Enumeration Date: 12/16/2020
Last Update Date: 10/07/2022

Medicare PECOS Information:

PECOS PAC ID: 4880001064
Enrollment ID: I20210406001745

Medical Identifiers

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

Identifier	Type	State	Issuer
1285220913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I.2002471 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Osh-oh Physicians Group Pc	1759639693	52

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 Pondillo allows following entities to bill medicare on her behalf.

Entity Name	Osh-oh Physicians Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346747946 PECOS PAC ID: 1759639693 Enrollment ID: O20180808003187

Entity Name	Rajendra P Koirala, M.d., Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760977177 PECOS PAC ID: 8820334931 Enrollment ID: O20190110002117

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509

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 Pondillo 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 Pondillo, LISW Po Box 746071, Atlanta, GA 30374-6071 Ph: (312) 733-9730	Mrs Nicole Pondillo, LISW 3551 Belmont Ave Ste 19b, Youngstown, OH 44505-1439 Ph: (330) 222-4030

Reviews and Comments

Social Worker in Youngstown, OH

Marisa D Mook, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8440 Market St, Youngstown, OH 44512 Phone: 330-965-9999 Fax: 330-757-0000
Andrea L Catone, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4822 Market St Ste 100, Youngstown, OH 44512 Phone: 330-544-8005
Adreanna Shonelle Mendenhall, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8440 Market St, Youngstown, OH 44512 Phone: 330-965-9999 Fax: 330-757-0000
Desiree J Farragher, MSW, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2980 Belmont Ave, Youngstown, OH 44505 Phone: 330-759-2310 Fax: 330-759-0018
William Theron Aley-byrne, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16 Colonial Dr, Youngstown, OH 44505 Phone: 234-232-7501
Shannon Marie Regano, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1434 Turnberry Dr, Youngstown, OH 44512 Phone: 330-719-9052
Jaclynn E Ellis, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 527 N Meridian Rd, Youngstown, OH 44509 Phone: 330-797-0070 Fax: 330-797-9146

Mrs Nicole Pondillo, LISW - Medicare Clinical Social Worker in Youngstown, OH