Ms Amy Nichols, LICSW in Gardner, MA - Medicare Social Worker Provider

Ms Amy Nichols, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Gardner, Massachusetts. Her current practice location is 101 Mechanic St, Gardner, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 668-3008.

Ms Amy Nichols is licensed to practice in Massachusetts (license number 116418) 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 1790910073.

Contact Information

	Ms Amy Nichols, LICSW
	101 Mechanic St, Gardner, MA 01440-3119
	(978) 668-3008
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Amy Nichols
Gender	Female
Speciality	Social Worker - Clinical
Location	101 Mechanic St, Gardner, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790910073
Provider Enumeration Date: 05/15/2009
Last Update Date: 04/29/2023

Medicare PECOS Information:

PECOS PAC ID: 8224280755
Enrollment ID: I20121210000180

Medical Identifiers

Medical identifiers for Ms Amy Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790910073	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	116418 (Massachusetts)	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. Ms Amy Nichols allows following entities to bill medicare on her behalf.

Entity Name	Youth Opportunities Upheld Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245317205 PECOS PAC ID: 9638190374 Enrollment ID: O20051209000469

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. Ms Amy 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
Ms Amy Nichols, LICSW 101 Mechanic St, Gardner, MA 01440-3119 Ph: (978) 668-3008	Ms Amy Nichols, LICSW 101 Mechanic St, Gardner, MA 01440-3119 Ph: (978) 668-3008

Reviews and Comments

Social Worker in Gardner, MA

Ms. Nannette D Bradley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Lake St, Gardner, MA 01440 Phone: 508-849-5648
Ms. Jennifer L Laroche, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Lake St, Gardner, MA 01440 Phone: 508-849-5648
Mrs. Rachel Lopez, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 20 Foster Ct, Gardner, MA 01440 Phone: 774-272-3287
Miss Victoria Abbie Valeri, M.S.W., L.I.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 235 Green St, Gardner, MA 01440 Phone: 978-630-6826
Miss Jill Kathleen Masure, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 30 Crawford St, Gardner, MA 01440 Phone: 978-660-0996
Ms. Nancy Metra Brooks, L.I.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 116 Stone St, Gardner, MA 01440 Phone: 978-630-4775
Mrs. Valerie K Duggan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 216 Mill St, Gardner, MA 01440 Phone: 978-632-3518 Fax: 978-630-3987

Ms Amy Nichols, LICSW - Medicare Clinical Social Worker in Gardner, MA