Nicholas E Sundstrom, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Sisters, Oregon. His current practice location is
220 S Pine St Ste 102, Sisters, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 903-5822.
Nicholas E Sundstrom is licensed to practice in Oregon (license number L4413) 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 1467709907.
Healthcare Provider's Profile
Full Name | Nicholas E Sundstrom |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 220 S Pine St Ste 102, Sisters, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467709907
- Provider Enumeration Date: 08/14/2012
- Last Update Date: 12/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375791171
- Enrollment ID: I20120920000387
Medical Identifiers
Medical identifiers for Nicholas E Sundstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467709907 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | L4413 (Oregon) | 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 E Sundstrom allows following entities to bill medicare on his behalf.
Entity Name | Brightways Counseling Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689191165 PECOS PAC ID: 4688907827 Enrollment ID: O20190603003122 |
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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. Nicholas E Sundstrom 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 E Sundstrom, LCSW 220 S Pine St Ste 102, Sisters, OR 97759-1670 Ph: (541) 903-5822 | Nicholas E Sundstrom, LCSW 220 S Pine St Ste 102, Sisters, OR 97759-1670 Ph: (541) 903-5822 |
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