Nichole Burns, is a medicare enrolled "Social Worker - Clinical" provider in New London, Connecticut. Her current practice location is
21 Montauk Avene, New London, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 271-4715.
Nichole Burns is licensed to practice in * (Not Available) (license number ) 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 1003230624.
Healthcare Provider's Profile
Full Name | Nichole Burns |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 21 Montauk Avene, New London, Connecticut |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003230624
- Provider Enumeration Date: 02/18/2014
- Last Update Date: 11/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 1355655952
- Enrollment ID: I20150727001174
Medical Identifiers
Medical identifiers for Nichole Burns such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003230624 | NPI | - | NPPES |
008059339 | Medicaid | CT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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 Burns allows following entities to bill medicare on her behalf.
Entity Name | Sound Community Services Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1396700886 PECOS PAC ID: 7517981517 Enrollment ID: O20060117001127 |
---|
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 Burns 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 Burns, 21 Montauk Avene, P.o. Box 390, New London, CT 06320-6344 Ph: (860) 271-4715 | Nichole Burns, 21 Montauk Avene, New London, CT 06320-4906 Ph: (860) 271-4715 |
Reviews and Comments