Nicole Lee Baschleben, LCSW in Cottage Grove, OR - Medicare Social Worker Provider

Nicole Lee Baschleben, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Cottage Grove, Oregon. Her current practice location is 37 N 6th St, Cottage Grove, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 623-6053.

Nicole Lee Baschleben is licensed to practice in Oregon (license number L11301) 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 1235434200.

Contact Information

	Nicole Lee Baschleben, LCSW
	37 N 6th St, Cottage Grove, OR 97424-2012
	(541) 623-6053
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Lee Baschleben
Gender	Female
Speciality	Social Worker - Clinical
Location	37 N 6th St, Cottage Grove, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235434200
Provider Enumeration Date: 01/21/2011
Last Update Date: 08/07/2024

Medicare PECOS Information:

PECOS PAC ID: 4284094053
Enrollment ID: I20230712003431

Medical Identifiers

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

Identifier	Type	State	Issuer
1235434200	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	L11301 (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. Nicole Lee Baschleben allows following entities to bill medicare on her behalf.

Entity Name	South Lane Mental Health Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306905831 PECOS PAC ID: 0042544504 Enrollment ID: O20190703000580

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 Lee Baschleben 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 Lee Baschleben, LCSW 1345 Birch Ave, Cottage Grove, OR 97424-1416 Ph: (541) 942-3939	Nicole Lee Baschleben, LCSW 37 N 6th St, Cottage Grove, OR 97424-2012 Ph: (541) 623-6053

Reviews and Comments

Social Worker in Cottage Grove, OR

Michele Anne Monroe, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1450 Birch Ave, Cottage Grove, OR 97424 Phone: 541-255-8822 Fax: 360-844-5184
Mr. Jeff P Koeppel, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 410 N 9th St, Cottage Grove, OR 97424 Phone: 541-942-2850 Fax: 541-942-1574
Mrs. Diana L. V. Knee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1445 Gateway Blvd, Suite A, Cottage Grove, OR 97424 Phone: 541-942-0040 Fax: 541-942-0040
Jennifer Lynn Ferraez, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1450 Birch Ave, Cottage Grove, OR 97424 Phone: 805-324-2658 Fax: 360-844-5184
Rachel Andrews, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1245 Birch Ave, Cottage Grove, OR 97424 Phone: 541-767-4190 Fax: 541-942-6810
Ms. Kerstin Elizabeth Britz, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 37 South. 6th Street, Cottage Grove, OR 97424 Phone: 541-942-3939

Nicole Lee Baschleben, LCSW - Medicare Clinical Social Worker in Cottage Grove, OR