Ms Nicole S Ide, MA, LPC, NCC in Beverly Hills, MI

Ms Nicole S Ide, MA, LPC, NCC is a medicare enrolled "Counselor - Mental Health" provider in Beverly Hills, Michigan. Her current practice location is 31815 Southfield Rd Ste 18, Beverly Hills, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 480-0115.

Ms Nicole S Ide is licensed to practice in Michigan (license number 6401010396) 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 1144942376.

Contact Information

	Ms Nicole S Ide, MA, LPC, NCC
	31815 Southfield Rd Ste 18, Beverly Hills, MI 48025-5471
	(248) 480-0115
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Nicole S Ide
Gender	Female
Speciality	Counselor - Mental Health
Location	31815 Southfield Rd Ste 18, Beverly Hills, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144942376
Provider Enumeration Date: 09/14/2022
Last Update Date: 09/26/2024

Medicare PECOS Information:

PECOS PAC ID: 5597114603
Enrollment ID: I20231214003276

Medical Identifiers

Medical identifiers for Ms Nicole S Ide such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144942376	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401010396 (Michigan)	Secondary
101YM0800X	Counselor - Mental Health	6401010396 (Michigan)	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. Ms Nicole S Ide allows following entities to bill medicare on her behalf.

Entity Name	Mas Counseling Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912309352 PECOS PAC ID: 4688994924 Enrollment ID: O20150527002787

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 S Ide 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 S Ide, MA, LPC, NCC 31815 Southfield Rd Ste 18, Beverly Hills, MI 48025-5471 Ph: (248) 480-0115	Ms Nicole S Ide, MA, LPC, NCC 31815 Southfield Rd Ste 18, Beverly Hills, MI 48025-5471 Ph: (248) 480-0115

Reviews and Comments

Counselor in Beverly Hills, MI

Christine Lyon, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 31815 Southfield Rd Ste 18, Beverly Hills, MI 48025 Phone: 248-480-0115 Fax: 248-282-7114
Karen Alyse Waldrop, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 31815 Southfield Rd Ste 18, Beverly Hills, MI 48025 Phone: 248-480-0115 Fax: 248-282-7114
Jessica Leuenberger, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 31815 Southfield Rd Ste 18, Beverly Hills, MI 48025 Phone: 248-480-0115 Fax: 248-282-7114
Ms. Marcia Jean Klucznik, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 31815 Southfield Rd Ste 18, Beverly Hills, MI 48025 Phone: 248-480-0115
Noelle Kristyn Lothamer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 31815 Southfield Rd, Beverly Hills, MI 48025 Phone: 248-480-0115
Laurea Marshall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 31815 Southfield Rd Ste 18, Beverly Hills, MI 48025 Phone: 248-480-0115

Ms Nicole S Ide, MA, LPC, NCC - Medicare Counselor in Beverly Hills, MI