Nicole Brevig, in Decorah, IA - Medicare Counselor Provider

Nicole Brevig, is a medicare enrolled "Counselor - Mental Health" provider in Decorah, Iowa. Her current practice location is 905 Montgomery St, Decorah, Iowa. You can reach out to her office (for appointments etc.) via phone at (563) 382-3649.

Nicole Brevig is licensed to practice in Iowa (license number 093810) 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 1659938165.

Contact Information

	Nicole Brevig,
	905 Montgomery St, Decorah, IA 52101-2325
	(563) 382-3649
	(563) 382-8183

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Brevig
Gender	Female
Speciality	Counselor - Mental Health
Location	905 Montgomery St, Decorah, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659938165
Provider Enumeration Date: 05/21/2019
Last Update Date: 05/21/2019

Medicare PECOS Information:

PECOS PAC ID: 8022466069
Enrollment ID: I20231130003031

Medical Identifiers

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

Identifier	Type	State	Issuer
1659938165	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	093810 (Iowa)	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 Brevig allows following entities to bill medicare on her behalf.

Entity Name	Northeast Iowa Mental Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710933445 PECOS PAC ID: 1355230475 Enrollment ID: O20040315000839

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 Brevig 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 Brevig, Po Box 349, Decorah, IA 52101-0349 Ph: (563) 382-3649	Nicole Brevig, 905 Montgomery St, Decorah, IA 52101-2325 Ph: (563) 382-3649

Reviews and Comments

Counselor in Decorah, IA

Ms. Wendy Buenzow, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 905 Montgomery St, Decorah, IA 52101 Phone: 563-382-3649 Fax: 563-382-8183
Carol Hemesath, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 709 Franklin St, Decorah, IA 52101 Phone: 563-387-0428 Fax: 563-387-0428
Mr. Chad Michael Wikan, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 349, Decorah, IA 52101 Phone: 563-382-3649 Fax: 563-382-8183
Lisa Beatty, T-LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 905 Montgomery St, Decorah, IA 52101 Phone: 563-382-3649
Robert Hinshaw Ii, T-LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 905 Montgomery St, Decorah, IA 52101 Phone: 563-382-3649
Ms. Marcia Berkeland Oltrogge, MA, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 905 Montgomery St, Decorah, IA 52101 Phone: 563-382-3649 Fax: 563-382-8183
Ms. Rebecca Loven, M.ED., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 905 Montgomery St, Decorah, IA 52101 Phone: 563-382-3649 Fax: 563-382-8183

Nicole Brevig, - Medicare Counselor in Decorah, IA