Nichole E Gulowsen, LCSW, CADC, CCS is a medicare enrolled "Social Worker - Clinical" provider in Mariaville, Maine. She graduated from healthcare school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
2821 Mariaville Rd, Mariaville, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 370-9397.
Nichole E Gulowsen is licensed to practice in Maine (license number LC16682) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588055016.
Healthcare Provider's Profile
| Full Name | Nichole E Gulowsen |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 10 Years |
|---|
| Location | 2821 Mariaville Rd, Mariaville, Maine |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Nichole E Gulowsen graduated from medical school in 2014
NPI Data:
- NPI Number: 1588055016
- Provider Enumeration Date: 02/05/2015
- Last Update Date: 03/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 9436408481
- Enrollment ID: I20180823002891
Medical Identifiers
Medical identifiers for Nichole E Gulowsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588055016 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | LC16682 (Maine) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAC5676 (Maine) | Secondary |
| 101YM0800X | Counselor - Mental Health | LC16682 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC16682 (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. Nichole E Gulowsen 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 | Third Eye Counseling, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1053805945
PECOS PAC ID: 8426389479
Enrollment ID: O20191007001416 |
|---|
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 E Gulowsen 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 E Gulowsen, LCSW, CADC, CCS
Po Box 95,
Aurora, ME 04408-0095
Ph: (207) 370-9397 | Nichole E Gulowsen, LCSW, CADC, CCS
2821 Mariaville Rd,
Mariaville, ME 04605-7205
Ph: (207) 370-9397 |
Reviews and Comments