Nicole Shannon Thull, SAC-IT - Counselor in Kewaskum, WI

  1. Home
  2. Counselors
  3. WI
  4. Kewaskum
Nicole Shannon Thull, SAC-IT is a Counselor - Addiction (substance Use Disorder) based in Kewaskum, Wisconsin. Nicole Shannon Thull is licensed to practice in Wisconsin (license number 17291-130) and her current practice location is 1421 Fond Du Lac Ave, Kewaskum, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 626-4166.

NPI number for Nicole Shannon Thull is 1669962825 and her current mailing address is 9349 Windy Acres Dr, Kewaskum, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669962825.

Contact Information

Nicole Shannon Thull, SAC-IT
1421 Fond Du Lac Ave,
Kewaskum, WI 53040-9136
(262) 626-4166
(262) 626-8431

Map and Direction


Healthcare Provider's Profile

Full NameNicole Shannon Thull
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1421 Fond Du Lac Ave, Kewaskum, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669962825
  • Provider Enumeration Date: 05/14/2018
  • Last Update Date: 05/14/2018

Medical Identifiers

Medical identifiers for Nicole Shannon Thull such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669962825NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 17291-130 (Wisconsin)Primary

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 Shannon Thull is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Shannon Thull, SAC-IT
9349 Windy Acres Dr,
Kewaskum, WI 53040-9742

Ph: (262) 483-4870		Nicole Shannon Thull, SAC-IT
1421 Fond Du Lac Ave,
Kewaskum, WI 53040-9136

Ph: (262) 626-4166

Reviews and Comments


Counselor in Kewaskum, WI

Cheryl Elizabeth Colwin, SAC-IT/PLC-IT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1421 Fond Du Lac Avenue, Kewaskum, WI 53040
Phone: 262-626-4166    Fax: 262-626-8431
Melissa Madriaga,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 314 1st St, Kewaskum, WI 53040
Phone: 920-960-5890    

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.