Nicole Marcouiller, MSW, LICSW in Waconia, MN - Medicare Social Worker Provider

Nicole Marcouiller, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Waconia, Minnesota. Her current practice location is 500 S Maple St, Waconia, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 442-2191.

Nicole Marcouiller is licensed to practice in Minnesota (license number 25899) 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 1407364565.

Contact Information

	Nicole Marcouiller, MSW, LICSW
	500 S Maple St, Waconia, MN 55387-1752
	(952) 442-2191
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Marcouiller
Gender	Female
Speciality	Social Worker - Clinical
Location	500 S Maple St, Waconia, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407364565
Provider Enumeration Date: 01/10/2018
Last Update Date: 01/10/2018

Medicare PECOS Information:

PECOS PAC ID: 2860753449
Enrollment ID: I20180222000029

Medical Identifiers

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

Identifier	Type	State	Issuer
1407364565	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	25899 (Minnesota)	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 Marcouiller allows following entities to bill medicare on her behalf.

Entity Name	Minnesota Oncology Hematology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528035995 PECOS PAC ID: 6709799752 Enrollment ID: O20031106000626

Entity Name	Healthwise Psychology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184920753 PECOS PAC ID: 2567685647 Enrollment ID: O20140516001784

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 Marcouiller 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 Marcouiller, MSW, LICSW 500 S Maple St, Waconia, MN 55387-1752 Ph: () -	Nicole Marcouiller, MSW, LICSW 500 S Maple St, Waconia, MN 55387-1752 Ph: (952) 442-2191

Reviews and Comments

Social Worker in Waconia, MN

Sarah Manthei, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 540 E 1st St, Waconia, MN 55387 Phone: 952-442-4437 Fax: 952-442-3084
Kimberly Jo Hendrickson, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 540 E 1st St, Waconia, MN 55387 Phone: 952-442-4437 Fax: 952-442-3084
Chezni Rang, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 540 E 1st St, Waconia, MN 55387 Phone: 952-442-4437 Fax: 952-442-3084
Ms. Alene Chelman, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 540 E 1st St, Waconia, MN 55387 Phone: 952-442-4437 Fax: 952-442-3084
Emily Kruger, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 540 E 1st St, Waconia, MN 55387 Phone: 952-442-4437 Fax: 952-442-3084
Jason Kosmatka, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 540 E 1st St, Waconia, MN 55387 Phone: 952-442-4437 Fax: 952-442-3084
Patrick Jeremiah Clark, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 540 E First St, Waconia, MN 55387 Phone: 952-442-4437 Fax: 952-442-3084

Nicole Marcouiller, MSW, LICSW - Medicare Clinical Social Worker in Waconia, MN