Nicholas Grudev, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in Sheldon, Vermont. His current practice location is
4038 Pond Rd, Sheldon, Vermont. You can reach out to his office (for appointments etc.) via phone at
(203) 300-7679.
Nicholas Grudev is licensed to practice in Vermont (license number 068.0134184) 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 1053955773.
Healthcare Provider's Profile
Full Name | Nicholas Grudev |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 4038 Pond Rd, Sheldon, Vermont |
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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: 1053955773
- Provider Enumeration Date: 11/06/2019
- Last Update Date: 01/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 4486098183
- Enrollment ID: I20240221002988
Medical Identifiers
Medical identifiers for Nicholas Grudev such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053955773 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 068.0134184 (Vermont) | 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 Grudev allows following entities to bill medicare on his behalf.
Entity Name | Nfi Vermont Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497885107 PECOS PAC ID: 6709220577 Enrollment ID: O20240220003094 |
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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 Grudev 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 Grudev, LCMHC 4038 Pond Rd, Sheldon, VT 05483-8390 Ph: (203) 300-7679 | Nicholas Grudev, LCMHC 4038 Pond Rd, Sheldon, VT 05483-8390 Ph: (203) 300-7679 |
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