Nicole Wilson, in Los Angeles, CA - Medicare Social Worker Provider

Nicole Wilson, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. Her current practice location is 4325 W Sunset Blvd Ste 206, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (619) 722-0550.

Nicole Wilson is licensed to practice in California (license number 94855) 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 1033576400.

Contact Information

	Nicole Wilson,
	4325 W Sunset Blvd Ste 206, Los Angeles, CA 90029-2180
	(619) 722-0550
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Wilson
Gender	Female
Speciality	Social Worker - Clinical
Location	4325 W Sunset Blvd Ste 206, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033576400
Provider Enumeration Date: 01/15/2016
Last Update Date: 06/02/2021

Medicare PECOS Information:

PECOS PAC ID: 0648649004
Enrollment ID: I20221207002645

Medical Identifiers

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

Identifier	Type	State	Issuer
1033576400	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	94855 (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 Wilson allows following entities to bill medicare on her behalf.

Entity Name	Memory Check Psychological Services, A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912184219 PECOS PAC ID: 7416856422 Enrollment ID: O20040107001021

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 Wilson 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 Wilson, Po Box 16252, San Diego, CA 92176-6252 Ph: (619) 722-0550	Nicole Wilson, 4325 W Sunset Blvd Ste 206, Los Angeles, CA 90029-2180 Ph: (619) 722-0550

Reviews and Comments

Social Worker in Los Angeles, CA

Myla T Howell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1605 Eastlake Ave, Los Angeles, CA 90033 Phone: 323-226-1871
Lucy S Villegas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1720 E 120th St, Los Angeles, CA 90059 Phone: 310-668-3201
Ms. Janie Michaels Grauman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 335 N La Brea Ave, Los Angeles, CA 90036 Phone: 323-634-3802 Fax: 323-634-3870
Jill Marie Stonerock, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6957 N Figueroa St, Los Angeles, CA 90042 Phone: 323-443-3175
Kathy Estrada Montes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 333 S Beaudry Ave, Los Angeles, CA 90017 Phone: 213-241-3841
Marc Richard Russak, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1081 Westwood Blvd Ste 221, Los Angeles, CA 90024 Phone: 310-800-3986
Janet S. Cazares, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 W 1st St, Los Angeles, CA 90012 Phone: 310-668-3141

Nicole Wilson, - Medicare Clinical Social Worker in Los Angeles, CA