Heidi M Nicewander, CADC-R/LCSW is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. Her current practice location is
1438 Se Division St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 548-0346.
Heidi M Nicewander is licensed to practice in Oregon (license number L6300) 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 1023414463.
Healthcare Provider's Profile
| Full Name | Heidi M Nicewander |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1438 Se Division St, Portland, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023414463
- Provider Enumeration Date: 11/12/2014
- Last Update Date: 09/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547539421
- Enrollment ID: I20170710000091
Medical Identifiers
Medical identifiers for Heidi M Nicewander such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023414463 | NPI | - | NPPES |
| 500701727 | Medicaid | OR | |
| 2138414 | Medicaid | WA | |
| 500815100 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | T-22-2228 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | L6300 (Oregon) | 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. Heidi M Nicewander allows following entities to bill medicare on her behalf.
| Entity Name | Native American Rehabilitation Assoc Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396734364
PECOS PAC ID: 2668361585
Enrollment ID: O20040310001435 |
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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. Heidi M Nicewander 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 |
|---|
Heidi M Nicewander, CADC-R/LCSW
1776 Sw Madison St,
Portland, OR 97205-1715
Ph: (503) 224-1044 | Heidi M Nicewander, CADC-R/LCSW
1438 Se Division St,
Portland, OR 97202-1140
Ph: (503) 548-0346 |
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