Nichole Burgess, in Bel Air, MD - Medicare Counselor Provider

Nichole Burgess, is a medicare enrolled "Counselor - Professional" provider in Bel Air, Maryland. Her current practice location is 1212 E Churchville Rd Ste 301, Bel Air, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 640-4913.

Nichole Burgess is licensed to practice in Maryland (license number LC9510) 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 1265838866.

Contact Information

	Nichole Burgess,
	1212 E Churchville Rd Ste 301, Bel Air, MD 21014-3482
	(443) 640-4913
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nichole Burgess
Gender	Female
Speciality	Counselor - Professional
Location	1212 E Churchville Rd Ste 301, Bel Air, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265838866
Provider Enumeration Date: 11/08/2014
Last Update Date: 07/19/2024

Medicare PECOS Information:

PECOS PAC ID: 6002353646
Enrollment ID: I20240801000371

Medical Identifiers

Medical identifiers for Nichole Burgess such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265838866	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LC9510 (Maryland)	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. Nichole Burgess allows following entities to bill medicare on her behalf.

Entity Name	Drumgoole Counseling Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053706218 PECOS PAC ID: 4082055728 Enrollment ID: O20240513003855

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. Nichole Burgess 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
Nichole Burgess, 21299 Dunk Freeland Rd, Parkton, MD 21120-9270 Ph: (443) 465-8994	Nichole Burgess, 1212 E Churchville Rd Ste 301, Bel Air, MD 21014-3482 Ph: (443) 640-4913

Reviews and Comments

Counselor in Bel Air, MD

Stella Kamille Janell Harris, M.S., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 336 S Main St Ste 1d, Bel Air, MD 21014 Phone: 209-596-2045
Gisele Ray Thompson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Eastern Ave, Bel Air, MD 21014 Phone: 410-227-1766
Lacey Nichole Lovrich, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1208 E Churchville Rd Ste 300, Bel Air, MD 21014 Phone: 000-000-0000
Dr. Kristine Monique Hitchens, PHD, LCSW-C, LCADC Counselor Medicare: Medicare Enrolled Practice Location: 539 Rock Spring Rd, Bel Air, MD 21014 Phone: 443-466-8024
Mila Sandra Choei, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4c North Ave Ste 423, Bel Air, MD 21014 Phone: 410-695-9959
Mrs. Erin Fisher Hoffman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 E Pennsylvania Ave, Suite 101, Bel Air, MD 21014 Phone: 443-876-4186
Erica Michele Waskey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1212 E Churchville Rd Ste 200, Bel Air, MD 21014 Phone: 443-595-7627

Nichole Burgess, - Medicare Counselor in Bel Air, MD