Nicole Stump, LSCSW is a medicare enrolled "Social Worker - Clinical" provider in Winfield, Kansas. Her current practice location is
22214 D St, Suite 106, Winfield, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 221-9664.
Nicole Stump is licensed to practice in Kansas (license number 5006) 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 1306268230.
Healthcare Provider's Profile
| Full Name | Nicole Stump |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 22214 D St, Winfield, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306268230
- Provider Enumeration Date: 01/12/2014
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062632839
- Enrollment ID: I20140929001450
Medical Identifiers
Medical identifiers for Nicole Stump such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306268230 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00850 (Kansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2021003639 (Missouri) | Secondary |
| 1041C0700X | Social Worker - Clinical | 5006 (Kansas) | 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 Stump allows following entities to bill medicare on her behalf.
| Entity Name | Level Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982378220
PECOS PAC ID: 0244634293
Enrollment ID: O20210812001950 |
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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 Stump 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 Stump, LSCSW
2955 Sw Wanamaker Dr Ste B,
Topeka, KS 66614-5341
Ph: (785) 221-2755 | Nicole Stump, LSCSW
22214 D St, Suite 106,
Winfield, KS 67156-7376
Ph: (620) 221-9664 |
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