Gayle P Nissen, LCSW in Reston, VA - Medicare Clinical Social Worker Provider

Gayle P Nissen, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Reston, Virginia. She graduated from healthcare school in 1993 and has 31 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Fairfax County, Virginia and her current practice location is 1850 Cameron Glen Dr, Reston, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 481-4011.

Gayle P Nissen is licensed to practice in Virginia (license number 0904005220) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982849782.

Contact Information

	Gayle P Nissen, LCSW
	1850 Cameron Glen Dr, Reston, VA 20190-3363
	(703) 481-4011
	(703) 481-1420

Map and Direction

Healthcare Provider's Profile

Full Name	Gayle P Nissen
Gender	Female
Speciality	Clinical Social Worker
Experience	31 Years
Location	1850 Cameron Glen Dr, Reston, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gayle P Nissen graduated from medical school in 1993

NPI Data:

NPI Number: 1982849782
Provider Enumeration Date: 12/08/2008
Last Update Date: 03/29/2021

Medicare PECOS Information:

PECOS PAC ID: 0244396646
Enrollment ID: I20090310000616

Medical Identifiers

Medical identifiers for Gayle P Nissen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982849782	NPI	-	NPPES
99999	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	0904005220 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fairfax County, Virginia	9739136847	97

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. Gayle P Nissen allows following entities to bill medicare on her behalf.

Entity Name	Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154356244 PECOS PAC ID: 6002701356 Enrollment ID: O20040217000340

Entity Name	Fairfax County, Virginia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154356244 PECOS PAC ID: 9739136847 Enrollment ID: O20210319001688

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. Gayle P Nissen 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
Gayle P Nissen, LCSW 1850 Cameron Glen Dr, Reston, VA 20190-3363 Ph: (703) 481-4011	Gayle P Nissen, LCSW 1850 Cameron Glen Dr, Reston, VA 20190-3363 Ph: (703) 481-4011

Reviews and Comments

Counselor in Reston, VA

William C Kapfer, Counselor Medicare: Medicare Enrolled Practice Location: 11260 Roger Bacon Dr Ste 103, Reston, VA 20190 Phone: 855-284-7483 Fax: 617-807-0958
Ms. Nancy Whiteley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11250 Roger Bacon Dr, Suite 7, Reston, VA 20191 Phone: 703-689-3537
Mrs. Patricia Susan Small, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11250 Roger Bacon Dr, Suite 6, Reston, VA 20190 Phone: 703-403-9773
Amanda Zuidema, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12007 Sunrise Valley Dr Ste 120, Reston, VA 20191 Phone: 508-663-3852
Mary Bolton-owens, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12359 Sunrise Valley Dr, Suite 220, Reston, VA 20191 Phone: 301-620-9762
Dr. Ruth A Freud, LCSW, PSY.D. Counselor Medicare: Accepting Medicare Assignments Practice Location: 11260 Roger Bacon Dr Ste 204, Reston, VA 20190 Phone: 703-435-7558 Fax: 571-446-3988
Mrs. Jasmine Dearborn, LRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12007 Sunrise Valley Dr, Reston, VA 20191 Phone: 804-207-6737

Gayle P Nissen, LCSW - Medicare Counselor in Reston, VA