Nicole Mary Podgorski, LSW, LICDC is a medicare enrolled "Social Worker" provider in Independence, Ohio. Her current practice location is
4807 Rockside Rd Ste 610, Independence, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 906-1117.
Nicole Mary Podgorski is licensed to practice in Ohio (license number 1600701) 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 1891213294.
Healthcare Provider's Profile
Full Name | Nicole Mary Podgorski |
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Gender | Female |
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Speciality | Social Worker |
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Location | 4807 Rockside Rd Ste 610, Independence, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891213294
- Provider Enumeration Date: 09/06/2017
- Last Update Date: 09/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 6709240260
- Enrollment ID: I20230915003443
Medical Identifiers
Medical identifiers for Nicole Mary Podgorski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891213294 | NPI | - | NPPES |
0262708 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162430 (* (Not Available)) | Secondary |
104100000X | Social Worker | 1600701 (Ohio) | 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 Mary Podgorski allows following entities to bill medicare on her behalf.
Entity Name | Jordan Counseling And Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689934853 PECOS PAC ID: 3274780168 Enrollment ID: O20120828000836 |
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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 Mary Podgorski 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 Mary Podgorski, LSW, LICDC 2115 W Park Dr, Lorain, OH 44053-1138 Ph: (440) 989-4900 | Nicole Mary Podgorski, LSW, LICDC 4807 Rockside Rd Ste 610, Independence, OH 44131-2166 Ph: (216) 906-1117 |
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