Ms Nicole Danielle Summers-dubois, MS, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Fitchburg, Massachusetts. Her current practice location is
28 Caspian Way, Fitchburg, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(978) 273-0051.
Ms Nicole Danielle Summers-dubois is licensed to practice in Massachusetts (license number 1814) 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 1063168839.
Healthcare Provider's Profile
Full Name | Ms Nicole Danielle Summers-dubois |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 28 Caspian Way, Fitchburg, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063168839
- Provider Enumeration Date: 03/01/2022
- Last Update Date: 03/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820431372
- Enrollment ID: I20240212002536
Medical Identifiers
Medical identifiers for Ms Nicole Danielle Summers-dubois such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063168839 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 1814 (Massachusetts) | Primary |
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. Ms Nicole Danielle Summers-dubois 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 |
Ms Nicole Danielle Summers-dubois, MS, LMFT 28 Caspian Way, Fitchburg, MA 01420-8931 Ph: (978) 273-0051 | Ms Nicole Danielle Summers-dubois, MS, LMFT 28 Caspian Way, Fitchburg, MA 01420-8931 Ph: (978) 273-0051 |
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