Mrs Nicholett Alexandria Bascou, LPCC 13440 in Vacaville, CA

Mrs Nicholett Alexandria Bascou, LPCC 13440 is a medicare enrolled "Counselor - Mental Health" provider in Vacaville, California. Her current practice location is 2050 Peabody Rd Ste 300, Vacaville, California. You can reach out to her office (for appointments etc.) via phone at (707) 727-9760.

Mrs Nicholett Alexandria Bascou is licensed to practice in California (license number LPCC13440) 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 1275013807.

Contact Information

	Mrs Nicholett Alexandria Bascou, LPCC 13440
	2050 Peabody Rd Ste 300, Vacaville, CA 95687-6695
	(707) 727-9760
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nicholett Alexandria Bascou
Gender	Female
Speciality	Counselor - Mental Health
Location	2050 Peabody Rd Ste 300, Vacaville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275013807
Provider Enumeration Date: 08/14/2018
Last Update Date: 08/15/2024

Medicare PECOS Information:

PECOS PAC ID: 6800332107
Enrollment ID: I20240723002688

Medical Identifiers

Medical identifiers for Mrs Nicholett Alexandria Bascou such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275013807	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPCC13440 (California)	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. Mrs Nicholett Alexandria Bascou allows following entities to bill medicare on her behalf.

Entity Name	Positive Change Counseling Services, A Professional Corporation Of Mar
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457668592 PECOS PAC ID: 0042663924 Enrollment ID: O20240126002107

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. Mrs Nicholett Alexandria Bascou 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
Mrs Nicholett Alexandria Bascou, LPCC 13440 3103 San Antonio Ct, Fairfield, CA 94533-7209 Ph: (209) 598-5783	Mrs Nicholett Alexandria Bascou, LPCC 13440 2050 Peabody Rd Ste 300, Vacaville, CA 95687-6695 Ph: (707) 727-9760

Reviews and Comments

Counselor in Vacaville, CA

Mrs. Phyllis Ann Dimmick, MASTERS OF ART PSYCH Counselor Medicare: Not Enrolled in Medicare Practice Location: 196 Auburn Way, Vacaville, CA 95688 Phone: 707-447-4668
Savitri D. Harris, RI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1286 Callen St, Vacaville, CA 95688 Phone: 707-447-8982 Fax: 707-447-3205
Ricardo Antonio Navarro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5063 Midway Rd, Vacaville, CA 95688 Phone: 707-678-5614
Ms. Kristina Claudio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1286 Callen St, Vacaville, CA 95688 Phone: 707-447-8982
Ziyya Raeann Scruggs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Alamo Dr Apt 187, Vacaville, CA 95687 Phone: 910-527-9625
Robin Langston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5063 Midway Rd, Vacaville, CA 95688 Phone: 707-678-5614
George W. Mares, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 1286 Callen St, Vacaville, CA 95688 Phone: 707-447-8982 Fax: 707-447-3205

Mrs Nicholett Alexandria Bascou, LPCC 13440 - Medicare Counselor in Vacaville, CA