Mr Nicholas J Sansone, CSW, LICDC, CADC is a medicare enrolled "Social Worker - Clinical" provider in Louisville, Kentucky. His current practice location is
676 S Floyd St Lowr Level, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 629-2500.
Mr Nicholas J Sansone is licensed to practice in Kentucky (license number 257416) 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 1023434008.
Healthcare Provider's Profile
| Full Name | Mr Nicholas J Sansone |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 676 S Floyd St Lowr Level, Louisville, Kentucky |
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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: 1023434008
- Provider Enumeration Date: 03/13/2014
- Last Update Date: 11/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830543925
- Enrollment ID: I20230922002301
Medical Identifiers
Medical identifiers for Mr Nicholas J Sansone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023434008 | NPI | - | NPPES |
| 1023434008 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 121116 (Ohio) | Secondary |
| 104100000X | Social Worker | 253535 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | 257416 (Kentucky) | 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 Nicholas J Sansone allows following entities to bill medicare on his behalf.
| Entity Name | Norton Hospitals Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073568879
PECOS PAC ID: 9830001528
Enrollment ID: O20031125000524 |
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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 Nicholas J Sansone 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 Nicholas J Sansone, CSW, LICDC, CADC
Po Box 776347,
Chicago, IL 60677-6347
Ph: (502) 588-9490 | Mr Nicholas J Sansone, CSW, LICDC, CADC
676 S Floyd St Lowr Level,
Louisville, KY 40202-1840
Ph: (502) 629-2500 |
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