Nicola Weise, is a medicare enrolled "Counselor - Mental Health" provider in Hartford, Connecticut. Her current practice location is
3580 Main St Ste E, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 778-5317.
Nicola Weise is licensed to practice in Connecticut (license number ) 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 1932668118.
Healthcare Provider's Profile
| Full Name | Nicola Weise |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 3580 Main St Ste E, Hartford, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1932668118
- Provider Enumeration Date: 03/18/2019
- Last Update Date: 03/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 7416384458
- Enrollment ID: I20200901000444
Medical Identifiers
Medical identifiers for Nicola Weise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932668118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | (Connecticut) | Secondary |
| 101YM0800X | Counselor - Mental Health | (Connecticut) | 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. Nicola Weise allows following entities to bill medicare on her behalf.
| Entity Name | First Choice Health Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215923131
PECOS PAC ID: 2769417609
Enrollment ID: O20060127000447 |
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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. Nicola Weise 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 |
|---|
Nicola Weise,
12 Freeman St Fl 2,
Hartford, CT 06114-2719
Ph: (860) 922-7376 | Nicola Weise,
3580 Main St Ste E,
Hartford, CT 06120-1121
Ph: (860) 778-5317 |
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