Nicole Marie Liedtke, LCSW, LCAC - Medicare Counselor in Fishers, IN

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Nicole Marie Liedtke, LCSW, LCAC is a medicare enrolled "Social Worker - Clinical" provider in Fishers, Indiana. She graduated from healthcare school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 14074 Trade Center Dr, Ste 220, Fishers, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 775-7797.

Nicole Marie Liedtke is licensed to practice in Indiana (license number 34005950A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740505460.

Contact Information

Nicole Marie Liedtke, LCSW, LCAC
14074 Trade Center Dr, Ste 220,
Fishers, IN 46038-4575
(317) 775-7797
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameNicole Marie Liedtke
GenderFemale
SpecialityClinical Social Worker
Experience18 Years
Location14074 Trade Center Dr, Fishers, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Marie Liedtke graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1740505460
  • Provider Enumeration Date: 04/06/2010
  • Last Update Date: 12/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2163691817
  • Enrollment ID: I20110815000120

Medical Identifiers

Medical identifiers for Nicole Marie Liedtke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740505460NPI-NPPES
000001111107OtherINANTHEM BLUE CROSS BLUE SHIELD
34005950AOtherINLCSW

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 87001005A (Indiana)Secondary
1041C0700XSocial Worker - Clinical 34005950A (Indiana)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 Marie Liedtke allows following entities to bill medicare on her behalf.
Entity NameTyrow Consulting Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710384839
PECOS PAC ID: 6608196787
Enrollment ID: O20150514000289
Entity NameRestore And Recover Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417553793
PECOS PAC ID: 8426460445
Enrollment ID: O20201216001962

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 Marie Liedtke 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 AddressPractice Location Address
Nicole Marie Liedtke, LCSW, LCAC
3645 N Briarwood Ln, Ste A,
Muncie, IN 47304-5337

Ph: (765) 289-5520		Nicole Marie Liedtke, LCSW, LCAC
14074 Trade Center Dr, Ste 220,
Fishers, IN 46038-4575

Ph: (317) 775-7797

Reviews and Comments


Social Worker in Fishers, IN


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.