Nichelle Gardner, LCPC in Raymond, ME - Medicare Counselor Provider

Nichelle Gardner, LCPC is a medicare enrolled "Counselor - Professional" provider in Raymond, Maine. Her current practice location is 285 Raymond Hill Rd, Raymond, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 671-7804.

Nichelle Gardner is licensed to practice in Maine (license number CC5906) 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 1336622208.

Contact Information

	Nichelle Gardner, LCPC
	285 Raymond Hill Rd, Raymond, ME 04071-6148
	(207) 671-7804
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nichelle Gardner
Gender	Female
Speciality	Counselor - Professional
Location	285 Raymond Hill Rd, Raymond, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336622208
Provider Enumeration Date: 09/07/2018
Last Update Date: 10/26/2024

Medicare PECOS Information:

PECOS PAC ID: 1850742305
Enrollment ID: I20240227004169

Medical Identifiers

Medical identifiers for Nichelle Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336622208	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CC5906 (Maine)	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. Nichelle Gardner allows following entities to bill medicare on her behalf.

Entity Name	Health Affiliates Maine, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932413556 PECOS PAC ID: 1951594076 Enrollment ID: O20101021000912

Entity Name	Glenn Therapy Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386498087 PECOS PAC ID: 6507207826 Enrollment ID: O20240516003049

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. Nichelle Gardner 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
Nichelle Gardner, LCPC 285 Raymond Hill Rd, Raymond, ME 04071-6148 Ph: (207) 671-7804	Nichelle Gardner, LCPC 285 Raymond Hill Rd, Raymond, ME 04071-6148 Ph: (207) 671-7804

Reviews and Comments

Counselor in Raymond, ME

Miss Katie Elizabeth Hunter I, C-LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Shady Ln, Raymond, ME 04071 Phone: 207-807-7501
Mr. Eric William Brown, LCPC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 33 Twin Pines Rd, Raymond, ME 04071 Phone: 207-899-5601
Mary-therese C Duffy, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 157 Valley Rd, Raymond, ME 04071 Phone: 207-712-6200
Andrew W Jarman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1288 Roosevelt Trl, Suite 5b, Raymond, ME 04071 Phone: 207-624-1132
Mrs. Jennifer Lee Goan, LSW-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 70 Cape Road, Raymond, ME 04071 Phone: 207-591-9107
Toni Jo Coppa, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1265 Roosevelt Trl, Raymond, ME 04071 Phone: 413-977-9592

Nichelle Gardner, LCPC - Medicare Counselor in Raymond, ME