Nisha Tebear-coolman, LBSW in Marquette, MI - Medicare Social Worker Provider

Nisha Tebear-coolman, LBSW is a medicare enrolled "Social Worker - Clinical" provider in Marquette, Michigan. Her current practice location is 1209 N 3rd St, Marquette, Michigan. You can reach out to her office (for appointments etc.) via phone at (906) 273-0964.

Nisha Tebear-coolman is licensed to practice in Michigan (license number 6801109751) 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 1710366497.

Contact Information

	Nisha Tebear-coolman, LBSW
	1209 N 3rd St, Marquette, MI 49855-3009
	(906) 273-0964
	(906) 273-2005

Map and Direction

Healthcare Provider's Profile

Full Name	Nisha Tebear-coolman
Gender	Female
Speciality	Social Worker - Clinical
Location	1209 N 3rd St, Marquette, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710366497
Provider Enumeration Date: 05/27/2015
Last Update Date: 06/21/2022

Medicare PECOS Information:

PECOS PAC ID: 6800296559
Enrollment ID: I20210616003622

Medical Identifiers

Medical identifiers for Nisha Tebear-coolman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710366497	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801109751 (Michigan)	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. Nisha Tebear-coolman allows following entities to bill medicare on her behalf.

Entity Name	Suunta Integrative Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720646508 PECOS PAC ID: 8022340900 Enrollment ID: O20191025000914

Entity Name	Self-reflections Therapeutic Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033826904 PECOS PAC ID: 9830568674 Enrollment ID: O20221216001953

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. Nisha Tebear-coolman 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
Nisha Tebear-coolman, LBSW 1209 N 3rd St, Marquette, MI 49855-3009 Ph: (906) 273-0964	Nisha Tebear-coolman, LBSW 1209 N 3rd St, Marquette, MI 49855-3009 Ph: (906) 273-0964

Reviews and Comments

Social Worker in Marquette, MI

Mr. Kirk W Matthews, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1414 W Fair Ave, Marquette, MI 49855 Phone: 906-774-3300
Jessica Van Overloop, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1650 State Highway M28 E, Marquette, MI 49855 Phone: 906-362-1216
Ms. Jennifer Marie Di Falco Riggs, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1014 N 3rd St, Marquette, MI 49855 Phone: 906-228-8081
Brian Macdevitt-dunn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 W Spring St, Marquette, MI 49855 Phone: 906-225-9820
Kayla Marie Dennis, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 West Spring Street, Marquette, MI 49855 Phone: 906-233-1322 Fax: 906-233-1220
Ms. Susan Uballe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 347 Rock St, Marquette, MI 49855 Phone: 906-228-9119
Mrs. Tiffany Ann Smith, QIDP, HS-BCP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 W Spring St, Marquette, MI 49855 Phone: 906-233-1393 Fax: 906-786-5859

Nisha Tebear-coolman, LBSW - Medicare Clinical Social Worker in Marquette, MI