Nola Wileen Knudsen, LAC, LPC is a medicare enrolled "Counselor - Professional" provider in Fairplay, Colorado. Her current practice location is
548 Front Street, Fairplay, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 960-4598.
Nola Wileen Knudsen is licensed to practice in Colorado (license number LPCC.0014961) 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 1881156636.
Healthcare Provider's Profile
Full Name | Nola Wileen Knudsen |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 548 Front Street, Fairplay, Colorado |
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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: 1881156636
- Provider Enumeration Date: 04/02/2019
- Last Update Date: 04/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 2062951544
- Enrollment ID: I20240828002857
Medical Identifiers
Medical identifiers for Nola Wileen Knudsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881156636 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0001219 (Colorado) | Secondary |
101YM0800X | Counselor - Mental Health | LPCC.0014961 (Colorado) | Secondary |
101YP2500X | Counselor - Professional | LPCC.0014961 (Colorado) | 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. Nola Wileen Knudsen allows following entities to bill medicare on her behalf.
Entity Name | Knudsen Counseling Educational And Business Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518425206 PECOS PAC ID: 1153860630 Enrollment ID: O20240828002510 |
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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. Nola Wileen Knudsen 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 |
Nola Wileen Knudsen, LAC, LPC Po Box 1344, Fairplay, CO 80440-1344 Ph: (719) 960-4598 | Nola Wileen Knudsen, LAC, LPC 548 Front Street, Fairplay, CO 80440 Ph: (719) 960-4598 |
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