Nicole Rg Randall, LCSW CADC is a medicare enrolled "Social Worker - Clinical" provider in Bar Harbor, Maine. She graduated from healthcare school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mount Desert Island Hospital and her current practice location is
322 Main St, Bar Harbor, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 288-8604.
Nicole Rg Randall is licensed to practice in Maine (license number LC17326) 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 1023592771.
Healthcare Provider's Profile
| Full Name | Nicole Rg Randall |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 322 Main St, Bar Harbor, Maine |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole Rg Randall graduated from medical school in 2016
NPI Data:
- NPI Number: 1023592771
- Provider Enumeration Date: 09/19/2018
- Last Update Date: 09/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 7618220328
- Enrollment ID: I20181026000940
Medical Identifiers
Medical identifiers for Nicole Rg Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023592771 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAC6664 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC17326 (Maine) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mount Desert Island Hospital | 0941250963 | 49 |
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 Rg Randall allows following entities to bill medicare on her behalf.
| Entity Name | Mount Desert Island Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790764512
PECOS PAC ID: 0941250963
Enrollment ID: O20050127000611 |
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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 Rg Randall 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 Rg Randall, LCSW CADC
322 Main St Fl 3,
Bar Harbor, ME 04609-1648
Ph: () - | Nicole Rg Randall, LCSW CADC
322 Main St,
Bar Harbor, ME 04609-1648
Ph: (207) 288-8604 |
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