Nicholas Thunder, MSW MHP is a medicare enrolled "Social Worker - Clinical" provider in Everett, Washington. His current practice location is
3322 Broadway, Everett, Washington. You can reach out to his office (for appointments etc.) via phone at
(425) 349-8359.
Nicholas Thunder is licensed to practice in Washington (license number LW61431521) 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 1811304553.
Healthcare Provider's Profile
| Full Name | Nicholas Thunder |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 3322 Broadway, Everett, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811304553
- Provider Enumeration Date: 07/15/2014
- Last Update Date: 01/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597100784
- Enrollment ID: I20240227004023
Medical Identifiers
Medical identifiers for Nicholas Thunder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811304553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | CG60510613 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW61431521 (Washington) | 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 Thunder allows following entities to bill medicare on his behalf.
| Entity Name | Pacmed Clinics |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013061217
PECOS PAC ID: 2466350657
Enrollment ID: O20031226000033 |
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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 Thunder 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 |
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Nicholas Thunder, MSW MHP
4526 Federal Ave,
Everett, WA 98203-2132
Ph: (425) 349-6200 | Nicholas Thunder, MSW MHP
3322 Broadway,
Everett, WA 98201-4425
Ph: (425) 349-8359 |
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