Portia Goldsmith-nickelberry, in Oklahoma City, OK - Medicare Social Worker Provider

Portia Goldsmith-nickelberry, is a medicare enrolled "Social Worker - Clinical" provider in Oklahoma City, Oklahoma. Her current practice location is 2309 Nw 118th St, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 370-8964.

Portia Goldsmith-nickelberry is licensed to practice in * (Not Available) (license number ) 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 1730490079.

Contact Information

	Portia Goldsmith-nickelberry,
	2309 Nw 118th St, Oklahoma City, OK 73120-7425
	(405) 370-8964
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Portia Goldsmith-nickelberry
Gender	Female
Speciality	Social Worker - Clinical
Location	2309 Nw 118th St, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730490079
Provider Enumeration Date: 07/01/2010
Last Update Date: 08/02/2022

Medicare PECOS Information:

PECOS PAC ID: 4880983196
Enrollment ID: I20160510000647

Medical Identifiers

Medical identifiers for Portia Goldsmith-nickelberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730490079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	4889 (Oklahoma)	Secondary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	(* (Not Available))	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. Portia Goldsmith-nickelberry allows following entities to bill medicare on her behalf.

Entity Name	Millennium Medical Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245286285 PECOS PAC ID: 6204730856 Enrollment ID: O20040105000859

Entity Name	Refresh In-home Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609365519 PECOS PAC ID: 8325397375 Enrollment ID: O20210707002462

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. Portia Goldsmith-nickelberry 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
Portia Goldsmith-nickelberry, 2309 Nw 118th St, Oklahoma City, OK 73120-7425 Ph: (405) 608-4198	Portia Goldsmith-nickelberry, 2309 Nw 118th St, Oklahoma City, OK 73120-7425 Ph: (405) 370-8964

Reviews and Comments

Social Worker in Oklahoma City, OK

Nancy K. Wood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4045 Nw 64th St, Suite 520, Oklahoma City, OK 73116 Phone: 405-842-4911 Fax: 405-842-5807
Mrs. Kateri Suzanna Bohanan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4913 W Reno Ave, Oklahoma City, OK 73127 Phone: 405-948-4900
Kathryn Knight, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1025 Straka Ter, Oklahoma City, OK 73139 Phone: 405-632-6688 Fax: 405-604-0708
Nicole Denise Fleming, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000
Brianna Lamoso, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11220 N Rockwell Ave, Oklahoma City, OK 73162 Phone: 405-632-6688
Mr. John Michael Cloud, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2617 General Pershing Blvd, Oklahoma City, OK 73107 Phone: 405-858-2770
Sally Ray, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5009 N Pennsylvania Ave Ste 116, Oklahoma City, OK 73112 Phone: 405-204-6746 Fax: 405-879-2388

Portia Goldsmith-nickelberry, - Medicare Clinical Social Worker in Oklahoma City, OK