Nicole Gardner, LPC in Eau Claire, WI - Medicare Counselor Provider

Nicole Gardner, LPC is a medicare enrolled "Counselor - Professional" provider in Eau Claire, Wisconsin. Her current practice location is 2115 E Clairemont Ave Ste 2, Eau Claire, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (763) 210-9966.

Nicole Gardner is licensed to practice in Wisconsin (license number 10105-125) 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 1891402723.

Contact Information

	Nicole Gardner, LPC
	2115 E Clairemont Ave Ste 2, Eau Claire, WI 54701-4761
	(763) 210-9966
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Gardner
Gender	Female
Speciality	Counselor - Professional
Location	2115 E Clairemont Ave Ste 2, Eau Claire, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891402723
Provider Enumeration Date: 10/31/2022
Last Update Date: 10/31/2022

Medicare PECOS Information:

PECOS PAC ID: 1951745223
Enrollment ID: I20240215000820

Medical Identifiers

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

Identifier	Type	State	Issuer
1891402723	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	10105-125 (Wisconsin)	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 Gardner allows following entities to bill medicare on her behalf.

Entity Name	Collaborative Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598034324 PECOS PAC ID: 3678711900 Enrollment ID: O20160907001302

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 Gardner 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 Gardner, LPC 12918 63rd Ave N, Maple Grove, MN 55369-6001 Ph: (763) 210-9966	Nicole Gardner, LPC 2115 E Clairemont Ave Ste 2, Eau Claire, WI 54701-4761 Ph: (763) 210-9966

Reviews and Comments

Counselor in Eau Claire, WI

Suzanne M Stewart, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222
Annelies Luellen White, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3703 Oakwood Hills Pkwy Ste 100, Eau Claire, WI 54701 Phone: 534-444-4562 Fax: 534-444-4563
Christina Marie Heddinger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 S Barstow St, Eau Claire, WI 54701 Phone: 715-832-2221
Mrs. Amy Hahn, LPC, ATR Counselor Medicare: Not Enrolled in Medicare Practice Location: 930 Galloway St Ste 16, Eau Claire, WI 54703 Phone: 715-600-3440 Fax: 715-201-3172
Ms. Elizabeth A O'brien, LCSW, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 S Barstow St, Eau Claire, WI 54701 Phone: 715-832-2221 Fax: 715-838-8423
Kristi Lee Van Ess, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2925 Mondovi Rd, Eau Claire, WI 54701 Phone: 715-832-0238 Fax: 715-832-0771
Sarah Bodeau, CSAC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2119 Heights Dr, Eau Claire, WI 54701 Phone: 715-717-5899 Fax: 715-717-5898

Nicole Gardner, LPC - Medicare Counselor in Eau Claire, WI