Nicole Antoinette Shields, MS, LCPC, QMHP in Quincy, IL

Nicole Antoinette Shields, MS, LCPC, QMHP is a medicare enrolled "Counselor - Professional" provider in Quincy, Illinois. Her current practice location is 1025 Maine St, Quincy, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 222-6550.

Nicole Antoinette Shields is licensed to practice in Illinois (license number 180006745) 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 1023104940.

Contact Information

	Nicole Antoinette Shields, MS, LCPC, QMHP
	1025 Maine St, Quincy, IL 62301-4038
	(217) 222-6550
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Antoinette Shields
Gender	Female
Speciality	Counselor - Professional
Location	1025 Maine St, Quincy, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023104940
Provider Enumeration Date: 10/05/2006
Last Update Date: 05/29/2014

Medicare PECOS Information:

PECOS PAC ID: 7012367543
Enrollment ID: I20231227000141

Medical Identifiers

Medical identifiers for Nicole Antoinette Shields such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023104940	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	180006745 (Illinois)	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. Nicole Antoinette Shields allows following entities to bill medicare on her behalf.

Entity Name	Quincy Physicians & Surgeons Clinic, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548234198 PECOS PAC ID: 0749192375 Enrollment ID: O20031103000445

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. Nicole Antoinette Shields 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
Nicole Antoinette Shields, MS, LCPC, QMHP 2633 Brook Drive, Quincy, IL 62301 Ph: (217) 223-0413	Nicole Antoinette Shields, MS, LCPC, QMHP 1025 Maine St, Quincy, IL 62301-4038 Ph: (217) 222-6550

Reviews and Comments

Counselor in Quincy, IL

Stacey Samantha Soliman Juilfs, LPC Counselor Medicare: Medicare Enrolled Practice Location: 639 York St Rm 212, Quincy, IL 62301 Phone: 217-222-6271
Mrs. Anne-claire Marie Vahle, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 S 24th St, Quincy, IL 62301 Phone: 217-222-0034 Fax: 217-222-3865
Janis Lynn Frageman, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4409 Maine, Quincy, IL 62305 Phone: 217-223-0423 Fax: 217-223-0461
Kathleen Jean Nelson, M.S. ED. Counselor Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 Fax: 217-277-2253
Martinette Z Douglas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2931 Payson Hts Apt Suite, Quincy, IL 62305 Phone: 773-669-8168
Heidi Muegge, BS, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 4409 Maine St, Quincy, IL 62305 Phone: 217-223-0423 Fax: 217-223-0461

Nicole Antoinette Shields, MS, LCPC, QMHP - Medicare Counselor in Quincy, IL