A Nicole La Verne, LPC, MAC, CADC III, in Lake Oswego, OR

A Nicole La Verne, LPC, MAC, CADC III, is a medicare enrolled "Counselor - Professional" provider in Lake Oswego, Oregon. Her current practice location is 5285 Meadows Rd Ste 170, Lake Oswego, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 726-5216.

A Nicole La Verne is licensed to practice in Oregon (license number C1853) 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 1083699979.

Contact Information

	A Nicole La Verne, LPC, MAC, CADC III,
	5285 Meadows Rd Ste 170, Lake Oswego, OR 97035-3478
	(503) 726-5216
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	A Nicole La Verne
Gender	Female
Speciality	Counselor - Professional
Location	5285 Meadows Rd Ste 170, Lake Oswego, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083699979
Provider Enumeration Date: 12/13/2005
Last Update Date: 01/08/2024

Medicare PECOS Information:

PECOS PAC ID: 3274984034
Enrollment ID: I20240207001962

Medical Identifiers

Medical identifiers for A Nicole La Verne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083699979	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	041169U3 (Oregon)	Secondary
101YP2500X	Counselor - Professional	C1853 (Oregon)	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. A Nicole La Verne allows following entities to bill medicare on her behalf.

Entity Name	Sapphire Blue Behavioral Health Solutions
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558839068 PECOS PAC ID: 7911358775 Enrollment ID: O20240105003842

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. A Nicole La Verne 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
A Nicole La Verne, LPC, MAC, CADC III, 5285 Meadows Rd Ste 170, Lake Oswego, OR 97035-3478 Ph: (503) 726-5216	A Nicole La Verne, LPC, MAC, CADC III, 5285 Meadows Rd Ste 170, Lake Oswego, OR 97035-3478 Ph: (503) 726-5216

Reviews and Comments

Counselor in Lake Oswego, OR

Jessica Morgenthaler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Monroe Pkwy Ste 270, Lake Oswego, OR 97035 Phone: 503-675-2830 Fax: 503-675-2852
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Mrs. Heather Mae Lokteff, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4800 Sw Meadows Rd,, Suite 300, Lake Oswego, OR 97035 Phone: 503-806-2012
John Milner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2507 Christie Drive, Lake Oswego, OR 97034 Phone: 503-635-3416
Ms. Rachel Diane White, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2507 Christie Drive, Lake Oswego, OR 97034 Phone: 503-675-2247

A Nicole La Verne, LPC, MAC, CADC III, - Medicare Counselor in Lake Oswego, OR