Nicole Gagnon, in Willimantic, CT - Medicare Social Worker Provider

Nicole Gagnon, is a medicare enrolled "Social Worker - Clinical" provider in Willimantic, Connecticut. Her current practice location is 134 Church St, Willimantic, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 450-7130.

Nicole Gagnon is licensed to practice in * (Not Available) (license number 12336) 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 1578932158.

Contact Information

	Nicole Gagnon,
	134 Church St, Willimantic, CT 06226-2612
	(860) 450-7130
	(860) 963-4979

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Gagnon
Gender	Female
Speciality	Social Worker - Clinical
Location	134 Church St, Willimantic, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578932158
Provider Enumeration Date: 09/24/2015
Last Update Date: 08/04/2022

Medicare PECOS Information:

PECOS PAC ID: 8729438189
Enrollment ID: I20231227001334

Medical Identifiers

Medical identifiers for Nicole Gagnon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578932158	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	12336 (* (Not Available))	Primary
101Y00000X	Counselor	(* (Not Available))	Secondary

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. Nicole Gagnon allows following entities to bill medicare on her behalf.

Entity Name	State Of Connecticut
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902831548 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000291

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. Nicole Gagnon 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
Nicole Gagnon, 30 Fernwood St, Plainfield, CT 06374-2109 Ph: (860) 917-0819	Nicole Gagnon, 134 Church St, Willimantic, CT 06226-2612 Ph: (860) 450-7130

Reviews and Comments

Social Worker in Willimantic, CT

Ariel Cussen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 289 Windham Rd, Willimantic, CT 06226 Phone: 860-465-2650
Karvada Monique Hurt, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 65 Peru St, Willimantic, CT 06226 Phone: 860-465-9884
Virginia Lyon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-0585 Fax: 860-450-0763
Lori Bernier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-6793 Fax: 860-456-6957
Jessica L St. Louis, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-6985 Fax: 860-456-6771
Ms. Shannan Farr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 132 Mansfield Ave, Suite 200, Willimantic, CT 06226 Phone: 860-456-2261
Mrs. Elizabeth Soucy Mendes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 54 North St, Willimantic, CT 06226 Phone: 860-450-0151 Fax: 860-450-7152

Nicole Gagnon, - Medicare Clinical Social Worker in Willimantic, CT