Kristen Nichols, MS, QMHP, CADC in Dixon, IL - Medicare Counselor Provider

Kristen Nichols, MS, QMHP, CADC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Dixon, Illinois. Her current practice location is 325 Il Route 2, Dixon, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 284-6611.

Kristen Nichols is licensed to practice in Illinois (license number 25265) 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 1043529886.

Contact Information

	Kristen Nichols, MS, QMHP, CADC
	325 Il Route 2, Dixon, IL 61021-9118
	(815) 284-6611
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristen Nichols
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	325 Il Route 2, Dixon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043529886
Provider Enumeration Date: 09/28/2010
Last Update Date: 03/20/2014

Medicare PECOS Information:

PECOS PAC ID: 1052760915
Enrollment ID: I20240102002398

Medical Identifiers

Medical identifiers for Kristen Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043529886	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	25265 (Illinois)	Primary
101YM0800X	Counselor - Mental Health	(Illinois)	Secondary

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. Kristen Nichols allows following entities to bill medicare on her behalf.

Entity Name	Sinnissippi Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407143837 PECOS PAC ID: 3476459876 Enrollment ID: O20031208000895

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. Kristen Nichols 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
Kristen Nichols, MS, QMHP, CADC 325 Il Route 2, Dixon, IL 61021-9118 Ph: (815) 284-6611	Kristen Nichols, MS, QMHP, CADC 325 Il Route 2, Dixon, IL 61021-9118 Ph: (815) 284-6611

Reviews and Comments

Counselor in Dixon, IL

Michelle Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Depot Ave, Dixon, IL 61021 Phone: 815-288-6057
Robert Lovus Dillon Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Il Route 2, Dixon, IL 61021 Phone: 815-284-9380
Rae Lynn Metzler8, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Illinois Rt 2, Dixon, IL 61021 Phone: 815-284-6611
Ms. Leigh Terrell, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Il Route 2, Dixon, IL 61021 Phone: 815-284-6611 Fax: 815-284-6598
Stephanie Marie Binkley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Il Route 2, Dixon, IL 61021 Phone: 815-284-6611
Genevieve Gassner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Illinois Rt 2, Dixon, IL 61021 Phone: 815-284-6611
Megan Koch, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Il Route 2, Dixon, IL 61021 Phone: 815-284-6611

Kristen Nichols, MS, QMHP, CADC - Medicare Counselor in Dixon, IL