Nicholas Olsen, LCSW in Kenosha, WI - Medicare Social Worker Provider

Nicholas Olsen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kenosha, Wisconsin. His current practice location is 6121 Green Bay Rd Ste 200, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 674-3718.

Nicholas Olsen is licensed to practice in Wisconsin (license number 8919) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104223510.

Contact Information

	Nicholas Olsen, LCSW
	6121 Green Bay Rd Ste 200, Kenosha, WI 53142-2931
	(262) 674-3718
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Olsen
Gender	Male
Speciality	Social Worker - Clinical
Location	6121 Green Bay Rd Ste 200, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104223510
Provider Enumeration Date: 12/01/2014
Last Update Date: 06/20/2023

Medicare PECOS Information:

PECOS PAC ID: 5092070813
Enrollment ID: I20180529001795

Medical Identifiers

Medical identifiers for Nicholas Olsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104223510	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	8919 (Wisconsin)	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. Nicholas Olsen allows following entities to bill medicare on his behalf.

Entity Name	Ascension Medical Group-southeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421

Entity Name	Genesis Counseling Services Ltd.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730273483 PECOS PAC ID: 0648278416 Enrollment ID: O20061110000335

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. Nicholas Olsen 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
Nicholas Olsen, LCSW 6121 Green Bay Rd Ste 200, Kenosha, WI 53142-2931 Ph: (262) 674-3718	Nicholas Olsen, LCSW 6121 Green Bay Rd Ste 200, Kenosha, WI 53142-2931 Ph: (262) 674-3718

Reviews and Comments

Social Worker in Kenosha, WI

Linda M. Tiso, MSW, LCSW, SAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3535 30th Ave, Suite 202, Kenosha, WI 53144 Phone: 262-842-0500 Fax: 262-842-0502
Kathryn Ann Aalto, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3734 7th Ave, Suite 12, Kenosha, WI 53140 Phone: 262-654-9370 Fax: 262-654-9379
David S Meyers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 60th St, Kenosha, WI 53140 Phone: 262-654-5333 Fax: 262-654-7818
Shonda Lynn Gagliano, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7723 32nd Ave, Kenosha, WI 53142 Phone: 262-573-4549
Victoria Mahboub, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6014 41st Ave, Kenosha, WI 53142 Phone: 262-818-3531
Mr. Christopher Michael David, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406

Nicholas Olsen, LCSW - Medicare Clinical Social Worker in Kenosha, WI