Nicholas Dean Dubios-rose, APSW in Kenosha, WI

Nicholas Dean Dubios-rose, APSW is a medicare enrolled "Counselor" provider in Kenosha, Wisconsin. His current practice location is 2108 63rd St, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 652-2406.

Nicholas Dean Dubios-rose is licensed to practice in Wisconsin (license number 132008-121) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215540547.

Contact Information

	Nicholas Dean Dubios-rose, APSW
	2108 63rd St, Kenosha, WI 53143-4454
	(262) 652-2406
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Dean Dubios-rose
Gender	Male
Speciality	Counselor
Location	2108 63rd St, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215540547
Provider Enumeration Date: 08/26/2020
Last Update Date: 08/26/2020

Medicare PECOS Information:

PECOS PAC ID: 0143676429
Enrollment ID: I20231023001646

Medical Identifiers

Medical identifiers for Nicholas Dean Dubios-rose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215540547	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	132008-121 (Wisconsin)	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. Nicholas Dean Dubios-rose allows following entities to bill medicare on his behalf.

Entity Name	Stateline Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538560255 PECOS PAC ID: 1658655865 Enrollment ID: O20170308001000

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. Nicholas Dean Dubios-rose 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
Nicholas Dean Dubios-rose, APSW 6233 39th Ave, Kenosha, WI 53142-7015 Ph: (262) 654-1004	Nicholas Dean Dubios-rose, APSW 2108 63rd St, Kenosha, WI 53143-4454 Ph: (262) 652-2406

Reviews and Comments

Counselor in Kenosha, WI

La Shanda Tolefree, BA, MS Counselor Medicare: Medicare Enrolled Practice Location: 3536 52nd St, Kenosha, WI 53144 Phone: 262-842-0538 Fax: 262-842-0539
Ann M Grossman, MS, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6321 23rd Ave, Kenosha, WI 53143 Phone: 414-455-3879 Fax: 866-719-3024
Stephanie L Mayberry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6127 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-654-8366 Fax: 262-842-0444
Jami Lynn Pomeroy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 75th St, Kenosha, WI 53143 Phone: 262-909-6008
Kathleen M Bullard, MS, LPC-IT, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4003 80th St Ste 101, Kenosha, WI 53142 Phone: 262-806-1467 Fax: 262-661-7702
Monica Christian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406
Jessica Martzahl, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406

Nicholas Dean Dubios-rose, APSW - Medicare Counselor in Kenosha, WI