Mrs Nicole Green, LCPC in Woodlawn, MD - Medicare Counselor Provider

Mrs Nicole Green, LCPC is a medicare enrolled "Counselor - Professional" provider in Woodlawn, Maryland. Her current practice location is 6707 Whitestone Rd, 106, Woodlawn, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 265-8737.

Mrs Nicole Green is licensed to practice in Maryland (license number LC4253) 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 1861812091.

Contact Information

	Mrs Nicole Green, LCPC
	6707 Whitestone Rd, 106, Woodlawn, MD 21207-4106
	(410) 265-8737
	(410) 265-1258

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nicole Green
Gender	Female
Speciality	Counselor - Professional
Location	6707 Whitestone Rd, Woodlawn, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861812091
Provider Enumeration Date: 04/28/2014
Last Update Date: 04/28/2014

Medicare PECOS Information:

PECOS PAC ID: 5890226823
Enrollment ID: I20241002000416

Medical Identifiers

Medical identifiers for Mrs Nicole Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861812091	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LC4253 (Maryland)	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 Nicole Green allows following entities to bill medicare on her behalf.

Entity Name	Safe Harbor Behavioral Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316487879 PECOS PAC ID: 0345514675 Enrollment ID: O20170925002242

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 Nicole Green 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 Nicole Green, LCPC 6707 Whitestone Rd, 106, Woodlawn, MD 21207-4106 Ph: () -	Mrs Nicole Green, LCPC 6707 Whitestone Rd, 106, Woodlawn, MD 21207-4106 Ph: (410) 265-8737

Reviews and Comments

Counselor in Woodlawn, MD

Dr. Brittany Williams, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 5522 Windsor Mill Rd, Woodlawn, MD 21207 Phone: 315-373-1281
Aimee Hoffman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6707 Whitestone Rd Ste 106, Woodlawn, MD 21207 Phone: 410-265-8737
Bridget D Schilling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1825 Woodlawn Dr, Woodlawn, MD 21207 Phone: 410-401-1970
Mrs. Tina Clark, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1826 Woodlawn Dr Ste 3, Woodlawn, MD 21207 Phone: 410-800-2121
Rodney L. Parker, PH.D., LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6707 Whitestone Rd, Suite 106, Woodlawn, MD 21207 Phone: 443-423-3003
Patricia Earnest, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1825 Woodlawn Dr Ste 204, Woodlawn, MD 21207 Phone: 410-401-1970
Oscar A Mejia Cruz, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 1726 Whitehead Rd, Woodlawn, MD 21207 Phone: 410-265-8737

Mrs Nicole Green, LCPC - Medicare Counselor in Woodlawn, MD