Nicole Lind Stiver, in Milwaukie, OR - Medicare Counselor Provider

Nicole Lind Stiver, is a medicare enrolled "Counselor - Mental Health" provider in Milwaukie, Oregon. Her current practice location is 10500 Se 26th Ave Apt D16, Milwaukie, Oregon. You can reach out to her office (for appointments etc.) via phone at (206) 427-0304.

Nicole Lind Stiver is licensed to practice in Oregon (license number C4744) 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 1720566821.

Contact Information

	Nicole Lind Stiver,
	10500 Se 26th Ave Apt D16, Milwaukie, OR 97222-9615
	(206) 427-0304
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Lind Stiver
Gender	Female
Speciality	Counselor - Mental Health
Location	10500 Se 26th Ave Apt D16, Milwaukie, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720566821
Provider Enumeration Date: 07/31/2018
Last Update Date: 07/31/2018

Medicare PECOS Information:

PECOS PAC ID: 1759731458
Enrollment ID: I20231221000308

Medical Identifiers

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

Identifier	Type	State	Issuer
1720566821	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	C4744 (Oregon)	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 Lind Stiver allows following entities to bill medicare on her behalf.

Entity Name	Mindful Therapy Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20210301001586

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 Lind Stiver 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 Lind Stiver, Po Box 12723, Portland, OR 97212-0723 Ph: (206) 427-0304	Nicole Lind Stiver, 10500 Se 26th Ave Apt D16, Milwaukie, OR 97222-9615 Ph: (206) 427-0304

Reviews and Comments

Counselor in Milwaukie, OR

Shannon Marie Beard, Counselor Medicare: Medicare Enrolled Practice Location: 13455 Se Oatfield Rd Apt 28, Milwaukie, OR 97222 Phone: 541-951-5297
Ms. Lindsay Young, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267 Phone: 503-594-1772 Fax: 503-594-1773
Erik Scholze, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11576 Se 27th Ave, Milwaukie, OR 97222 Phone: 503-305-6943
Konde Salumu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11576 Se 27th Ave, Milwaukie, OR 97222 Phone: 503-305-6943
Asa J Statler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13850 Se Autumn Ridge Ter, Milwaukie, OR 97267 Phone: 503-974-9250 Fax: 503-974-9586
John Ryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267 Phone: 503-303-4000
Tammy Talbert, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4105 Se International Way, Milwaukie, OR 97222 Phone: 503-740-8787

Nicole Lind Stiver, - Medicare Counselor in Milwaukie, OR