Mr Hal S Nichols Jr, LSCSW, LCAC is a medicare enrolled "Social Worker - Clinical" provider in Leawood, Kansas. His current practice location is
11100 Ash Street, Suite 100, Leawood, Kansas. You can reach out to his office (for appointments etc.) via phone at
(913) 648-6940.
Mr Hal S Nichols Jr is licensed to practice in Kansas (license number 3793) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770745663.
Healthcare Provider's Profile
| Full Name | Mr Hal S Nichols Jr |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 11100 Ash Street, Suite 100, Leawood, Kansas |
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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: 1770745663
- Provider Enumeration Date: 07/01/2008
- Last Update Date: 12/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 5395101976
- Enrollment ID: I20230524002069
Medical Identifiers
Medical identifiers for Mr Hal S Nichols Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770745663 | NPI | - | NPPES |
| 201128190A | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3793 (Kansas) | Secondary |
| 101YM0800X | Counselor - Mental Health | 3793 (Kansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3793 (Kansas) | 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. Mr Hal S Nichols Jr allows following entities to bill medicare on his behalf.
| Entity Name | Clinical Associates Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477588085
PECOS PAC ID: 9739084112
Enrollment ID: O20051029000300 |
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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. Mr Hal S Nichols Jr 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 |
|---|
Mr Hal S Nichols Jr, LSCSW, LCAC
11100 Ash Street, Suite 100,
Leawood, KS 66211
Ph: (913) 648-6940 | Mr Hal S Nichols Jr, LSCSW, LCAC
11100 Ash Street, Suite 100,
Leawood, KS 66211
Ph: (913) 648-6940 |
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