Kaitlyn E Nicholson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mechanicsville, Virginia. Her current practice location is
9202 Center Oak Ct, Mechanicsville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 207-6737.
Kaitlyn E Nicholson is licensed to practice in Virginia (license number 0904016773) 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 1396331229.
Healthcare Provider's Profile
| Full Name | Kaitlyn E Nicholson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 9202 Center Oak Ct, Mechanicsville, Virginia |
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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: 1396331229
- Provider Enumeration Date: 12/15/2020
- Last Update Date: 08/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002255999
- Enrollment ID: I20240411001561
Medical Identifiers
Medical identifiers for Kaitlyn E Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396331229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 35145 (New York) | Secondary |
| 104100000X | Social Worker | 107673 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904016773 (Virginia) | 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. Kaitlyn E Nicholson allows following entities to bill medicare on her behalf.
| Entity Name | Jennifer Ufko Lcsw Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629471552
PECOS PAC ID: 9234454315
Enrollment ID: O20150212000753 |
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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. Kaitlyn E Nicholson 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 |
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Kaitlyn E Nicholson, LCSW
71 Maple Rd,
Kings Park, NY 11754-3127
Ph: (347) 723-8761 | Kaitlyn E Nicholson, LCSW
9202 Center Oak Ct,
Mechanicsville, VA 23116-2744
Ph: (804) 207-6737 |
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