Nicole Kutil, ATR, LPCC is a medicare enrolled "Art Therapist" provider in New Hope, Minnesota. Her current practice location is
5555 Boone Ave N, New Hope, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 774-0011.
Nicole Kutil is licensed to practice in * (Not Available) (license number 21-545) 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 1922798537.
Healthcare Provider's Profile
| Full Name | Nicole Kutil |
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| Gender | Female |
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| Speciality | Art Therapist |
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| Location | 5555 Boone Ave N, New Hope, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1922798537
- Provider Enumeration Date: 05/09/2023
- Last Update Date: 11/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254781750
- Enrollment ID: I20231226000819
Medical Identifiers
Medical identifiers for Nicole Kutil such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922798537 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 3689 (Minnesota) | Secondary |
| 221700000X | Art Therapist | 21-545 (* (Not Available)) | 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 Kutil allows following entities to bill medicare on her behalf.
| Entity Name | People Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215104831
PECOS PAC ID: 7012043540
Enrollment ID: O20100409000071 |
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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 Kutil 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 |
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Nicole Kutil, ATR, LPCC
3000 Ames Crossing Rd Ste 600,
Eagan, MN 55121-2519
Ph: (651) 774-0011 | Nicole Kutil, ATR, LPCC
5555 Boone Ave N,
New Hope, MN 55428-3636
Ph: (651) 774-0011 |
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