Nichole M Surbaugh, LMHCA in Bluffton, IN - Medicare Counselor Provider

Nichole M Surbaugh, LMHCA is a medicare enrolled "Counselor" provider in Bluffton, Indiana. Her current practice location is 2350 S State Road 1, Bluffton, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 307-5030.

Nichole M Surbaugh is licensed to practice in Indiana (license number 88000477A) 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 1205493145.

Contact Information

	Nichole M Surbaugh, LMHCA
	2350 S State Road 1, Bluffton, IN 46714-9698
	(260) 307-5030
	(260) 824-8445

Map and Direction

Healthcare Provider's Profile

Full Name	Nichole M Surbaugh
Gender	Female
Speciality	Counselor
Location	2350 S State Road 1, Bluffton, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205493145
Provider Enumeration Date: 05/28/2019
Last Update Date: 05/28/2019

Medicare PECOS Information:

PECOS PAC ID: 5597116277
Enrollment ID: I20240106000541

Medical Identifiers

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

Identifier	Type	State	Issuer
1205493145	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	88000477A (Indiana)	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 M Surbaugh allows following entities to bill medicare on her behalf.

Entity Name	Renovate Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689135279 PECOS PAC ID: 6103246376 Enrollment ID: O20201009001472

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 M Surbaugh 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 M Surbaugh, LMHCA 2350 S State Road 1, Bluffton, IN 46714-9698 Ph: (260) 307-5030	Nichole M Surbaugh, LMHCA 2350 S State Road 1, Bluffton, IN 46714-9698 Ph: (260) 307-5030

Reviews and Comments

Counselor in Bluffton, IN

Lane G. Sander, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 2350 S State Road 1, Bluffton, IN 46714 Phone: 260-307-5030 Fax: 260-824-8445
Paul Painter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 S Main St, Bluffton, IN 46714 Phone: 260-824-1071 Fax: 260-824-5578
Valerie Runyon, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 S Main St, Bluffton, IN 46714 Phone: 260-824-1071 Fax: 260-824-5578
Rachel K Draper, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 Sutton Circle Dr N, Bluffton, IN 46714 Phone: 260-824-0090 Fax: 260-824-1374
Ms. Christine Ottaviano Shestak, M.S. LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 N Scott St, Bluffton, IN 46714 Phone: 260-824-0089 Fax: 260-824-4209
Nancy Lee Williams, MA, LMHT, BCPPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 Sutton Circle Dr N, Bluffton, IN 46714 Phone: 260-824-0090 Fax: 260-824-1374

Nichole M Surbaugh, LMHCA - Medicare Counselor in Bluffton, IN