Nicole Isabell Palacios, is a medicare enrolled "Social Worker - Clinical" provider in Soldotna, Alaska. Her current practice location is
133 Smith Way Unit C, Soldotna, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 531-6047.
Nicole Isabell Palacios is licensed to practice in Alaska (license number 154220) 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 1962902437.
Healthcare Provider's Profile
| Full Name | Nicole Isabell Palacios |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 133 Smith Way Unit C, Soldotna, Alaska |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1962902437
- Provider Enumeration Date: 02/20/2018
- Last Update Date: 10/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133579493
- Enrollment ID: I20231228002204
Medical Identifiers
Medical identifiers for Nicole Isabell Palacios such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962902437 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0001301 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09926216 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | 154220 (Alaska) | 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 Isabell Palacios allows following entities to bill medicare on her behalf.
| Entity Name | Jovial Therapy Services Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1992584585
PECOS PAC ID: 8224488580
Enrollment ID: O20231228002156 |
|---|
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 Isabell Palacios 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 Isabell Palacios,
Po Box 2653,
Soldotna, AK 99669-2653
Ph: (907) 531-6047 | Nicole Isabell Palacios,
133 Smith Way Unit C,
Soldotna, AK 99669-8077
Ph: (907) 531-6047 |
Reviews and Comments