Mrs Nichole Jessica Wojtanowski, LPC in Phoenix, AZ

Mrs Nichole Jessica Wojtanowski, LPC is a medicare enrolled "Counselor - Professional" provider in Phoenix, Arizona. Her current practice location is 2345 W Glendale Ave, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 584-2909.

Mrs Nichole Jessica Wojtanowski is licensed to practice in Arizona (license number LPC16653) 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 1598483711.

Contact Information

	Mrs Nichole Jessica Wojtanowski, LPC
	2345 W Glendale Ave, Phoenix, AZ 85021-7672
	(602) 584-2909
	(602) 254-3831

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nichole Jessica Wojtanowski
Gender	Female
Speciality	Counselor - Professional
Location	2345 W Glendale Ave, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598483711
Provider Enumeration Date: 08/15/2022
Last Update Date: 08/15/2022

Medicare PECOS Information:

PECOS PAC ID: 9032552765
Enrollment ID: I20240208004077

Medical Identifiers

Medical identifiers for Mrs Nichole Jessica Wojtanowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598483711	NPI	-	NPPES
LPC16653	Other	AZ	BOARD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC16653 (Arizona)	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. Mrs Nichole Jessica Wojtanowski allows following entities to bill medicare on her behalf.

Entity Name	Southwest Behavioral Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144384389 PECOS PAC ID: 9739075854 Enrollment ID: O20040225000948

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. Mrs Nichole Jessica Wojtanowski 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
Mrs Nichole Jessica Wojtanowski, LPC 2345 W Glendale Ave, Phoenix, AZ 85021-7672 Ph: (602) 584-2909	Mrs Nichole Jessica Wojtanowski, LPC 2345 W Glendale Ave, Phoenix, AZ 85021-7672 Ph: (602) 584-2909

Reviews and Comments

Counselor in Phoenix, AZ

Ms. Martha White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3306 W Catalina Dr, Phoenix, AZ 85017 Phone: 602-353-0703 Fax: 602-353-0715
Philip Lee Mcdonald, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1648 S 16th St, Phoenix, AZ 85034 Phone: 714-235-1970
Melinda Chapin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3640 W Osborn Rd, Phoenix, AZ 85019 Phone: 602-269-5300 Fax: 602-269-5380
Beverly Seyler, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4525 E Saint Anne Ave, Phoenix, AZ 85042 Phone: 602-431-6685
Mrs. Virginia Joyce Gatson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-685-1940 Fax: 602-685-1944
Margaret Ann Beresford, MC, ATR-BC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4545 N. 36th Street, Suite 117, Phoenix, AZ 85018 Phone: 602-509-5771
Kevin Jessup, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4214 N 19th Pl, Phoenix, AZ 85016 Phone: 602-460-5350

Mrs Nichole Jessica Wojtanowski, LPC - Medicare Counselor in Phoenix, AZ