Nicole Wentzel, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Carmichael, California. Her current practice location is
6129 Barker Elms Ct, Carmichael, California. You can reach out to her office (for appointments etc.) via phone at
(916) 583-3208.
Nicole Wentzel is licensed to practice in California (license number LCSW69250) 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 1174076913.
Healthcare Provider's Profile
| Full Name | Nicole Wentzel |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 6129 Barker Elms Ct, Carmichael, California |
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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: 1174076913
- Provider Enumeration Date: 07/28/2016
- Last Update Date: 01/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 1355624685
- Enrollment ID: I20170213001470
Medical Identifiers
Medical identifiers for Nicole Wentzel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174076913 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | W1206131518 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW69250 (California) | 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 Wentzel allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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 Wentzel 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 Wentzel, LCSW
9300 Tech Center Dr Ste 210,
Sacramento, CA 95826-2589
Ph: (916) 379-9300 | Nicole Wentzel, LCSW
6129 Barker Elms Ct,
Carmichael, CA 95608-3434
Ph: (916) 583-3208 |
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