Mr Adam L Nickell, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Ammon, Idaho. He graduated from healthcare school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Pearl Health Clinic and his current practice location is
2705 E 17th St, Ammon, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 346-7500.
Mr Adam L Nickell is licensed to practice in Idaho (license number LCSW- 36181) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497164347.
Healthcare Provider's Profile
| Full Name | Mr Adam L Nickell |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 10 Years |
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| Location | 2705 E 17th St, Ammon, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Adam L Nickell graduated from medical school in 2014
NPI Data:
- NPI Number: 1497164347
- Provider Enumeration Date: 08/05/2014
- Last Update Date: 10/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 1153607858
- Enrollment ID: I20170412001177
Medical Identifiers
Medical identifiers for Mr Adam L Nickell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497164347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | LCSW-36181 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW- 36181 (Idaho) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pearl Health Clinic | 0840356077 | 28 |
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. Mr Adam L Nickell allows following entities to bill medicare on his behalf.
| Entity Name | Pearl Health Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447426465
PECOS PAC ID: 0840356077
Enrollment ID: O20090312000617 |
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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. Mr Adam L Nickell 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 |
|---|
Mr Adam L Nickell, LCSW
2705 E 17th St,
Ammon, ID 83406-6601
Ph: (208) 346-7500 | Mr Adam L Nickell, LCSW
2705 E 17th St,
Ammon, ID 83406-6601
Ph: (208) 346-7500 |
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