Ms Carol Countryman Nunnally, LCSW LIMHP is a medicare enrolled "Counselor - Mental Health" provider in Lincoln, Nebraska. She graduated from medical school in 2002 and has 23 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
4444 S 86th T Ste 102, Lincoln, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 476-7557.
Ms Carol Countryman Nunnally is licensed to practice in Nebraska (license number 67) 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 1093876872.
Healthcare Provider's Profile
Full Name | Ms Carol Countryman Nunnally |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 23 Years |
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Location | 4444 S 86th T Ste 102, Lincoln, Nebraska |
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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:
- Ms Carol Countryman Nunnally graduated from medical school in 2002
NPI Data:
- NPI Number: 1093876872
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 10/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 6507895125
- Enrollment ID: I20050915000505
Medical Identifiers
Medical identifiers for Ms Carol Countryman Nunnally such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093876872 | NPI | - | NPPES |
85299 | Other | NE | BCBS |
10025273400 | Medicaid | NE | |
798299000 | Other | NE | MAGELLAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 1136 (Nebraska) | Secondary |
101YM0800X | Counselor - Mental Health | 67 (Nebraska) | 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 Carol Countryman Nunnally allows following entities to bill medicare on her behalf.
Entity Name | Carol Countryman N Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134446669 PECOS PAC ID: 3274666128 Enrollment ID: O20100729000692 |
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Entity Name | Pando Geriatric Counseling, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700171741 PECOS PAC ID: 2567632458 Enrollment ID: O20110901000382 |
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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 Carol Countryman Nunnally 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 Carol Countryman Nunnally, LCSW LIMHP Po Box 57475, Lincoln, NE 68505 Ph: (402) 429-5365 | Ms Carol Countryman Nunnally, LCSW LIMHP 4444 S 86th T Ste 102, Lincoln, NE 68526-9253 Ph: (402) 476-7557 |
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