Mike Lyle Nicholson, BS is a medicare enrolled "Social Worker - Clinical" provider in Bellingham, Washington. He graduated from healthcare school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Peacehealth and his current practice location is
1616 Cornwall Ave Ste 205, Bellingham, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 676-6177.
Mike Lyle Nicholson is licensed to practice in Washington (license number LW60717124) 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 1184808701.
Healthcare Provider's Profile
| Full Name | Mike Lyle Nicholson |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 15 Years |
|---|
| Location | 1616 Cornwall Ave Ste 205, Bellingham, Washington |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mike Lyle Nicholson graduated from medical school in 2009
NPI Data:
- NPI Number: 1184808701
- Provider Enumeration Date: 12/18/2007
- Last Update Date: 08/08/2018
Medicare PECOS Information:
- PECOS PAC ID: 9931466877
- Enrollment ID: I20171130001114
Medical Identifiers
Medical identifiers for Mike Lyle Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184808701 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | LW60717124 (Washington) | Secondary |
| 104100000X | Social Worker | LW60717124 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW60717124 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Peacehealth | 9537073960 | 265 |
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. Mike Lyle Nicholson allows following entities to bill medicare on his behalf.
| Entity Name | Peacehealth |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1356309553
PECOS PAC ID: 9537073960
Enrollment ID: O20031118001062 |
|---|
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. Mike Lyle 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 |
|---|
Mike Lyle Nicholson, BS
1616 Cornwall Ave Ste 205,
Bellingham, WA 98225-4642
Ph: (360) 676-6177 | Mike Lyle Nicholson, BS
1616 Cornwall Ave Ste 205,
Bellingham, WA 98225
Ph: (360) 676-6177 |
Reviews and Comments