Nicole Tatick, in Vandenberg Afb, CA - Medicare Social Worker Provider

Nicole Tatick, is a medicare enrolled "Social Worker - Clinical" provider in Vandenberg Afb, California. Her current practice location is 338 S Dakota Ave, Vandenberg Afb, California. You can reach out to her office (for appointments etc.) via phone at (000) 000-0000.

Nicole Tatick is licensed to practice in California (license number 109147) 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 1568853778.

Contact Information

	Nicole Tatick,
	338 S Dakota Ave, Vandenberg Afb, CA 93437-6307
	(000) 000-0000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Tatick
Gender	Female
Speciality	Social Worker - Clinical
Location	338 S Dakota Ave, Vandenberg Afb, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568853778
Provider Enumeration Date: 02/10/2015
Last Update Date: 07/24/2024

Medicare PECOS Information:

PECOS PAC ID: 2567848153
Enrollment ID: I20221005001812

Medical Identifiers

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

Identifier	Type	State	Issuer
1568853778	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	109147 (California)	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 Tatick allows following entities to bill medicare on her behalf.

Entity Name	Santa Barbara County County Auditor
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134162613 PECOS PAC ID: 9335052083 Enrollment ID: O20031107000729

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 Tatick 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 Tatick, 1009 E Bush Ave, Lompoc, CA 93436-3530 Ph: () -	Nicole Tatick, 338 S Dakota Ave, Vandenberg Afb, CA 93437-6307 Ph: (000) 000-0000

Reviews and Comments

Social Worker in Vandenberg Afb, CA

Sandra Lopez Avalos, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 338 S Dakota Ave, Vandenberg Afb, CA 93437 Phone: 805-606-8217
Zoe V. Colgan, ED.D. LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 338 S Dakota Ave, Vandenberg Afb, CA 93437 Phone: 805-606-8217
Mr. Nicolae Daniel Seri, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 338 S Dakota Ave, Vandenberg Afb, CA 93437 Phone: 805-606-8217 Fax: 805-606-4390
Mrs. Felipa Alcoreza Dacanay, MS.ED., MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 338 S Dakota Ave, Vandenberg Afb, CA 93437 Phone: 805-606-8217 Fax: 805-606-4390

Nicole Tatick, - Medicare Clinical Social Worker in Vandenberg Afb, CA