Razalyn Dyan Nickola, MFT ASSOCIATE in Dublin, CA

Razalyn Dyan Nickola, MFT ASSOCIATE is a medicare enrolled "Counselor" provider in Dublin, California. Her current practice location is 5325 Broder Blvd, Dublin, California. You can reach out to her office (for appointments etc.) via phone at (925) 803-7221.

Razalyn Dyan Nickola is licensed to practice in * (Not Available) (license number ) 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 1780233650.

Contact Information

	Razalyn Dyan Nickola, MFT ASSOCIATE
	5325 Broder Blvd, Dublin, CA 94568-3309
	(925) 803-7221
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Razalyn Dyan Nickola
Gender	Female
Speciality	Counselor
Location	5325 Broder Blvd, Dublin, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780233650
Provider Enumeration Date: 09/04/2019
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 6204278088
Enrollment ID: I20240524000829

Medical Identifiers

Medical identifiers for Razalyn Dyan Nickola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780233650	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	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. Razalyn Dyan Nickola allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Razalyn Dyan Nickola 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
Razalyn Dyan Nickola, MFT ASSOCIATE 2441 Doidge Ave, Pinole, CA 94564-1008 Ph: (510) 708-9886	Razalyn Dyan Nickola, MFT ASSOCIATE 5325 Broder Blvd, Dublin, CA 94568-3309 Ph: (925) 803-7221

Reviews and Comments

Counselor in Dublin, CA

Laura Blackburn, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 8425 N Lake Dr, Apt F, Dublin, CA 94568 Phone: 847-636-1159
Stuart Kosh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5325 Broder Blvd, Dublin, CA 94568 Phone: 209-843-0285
Mrs. Cheryl Julie Chin, MFT Counselor Medicare: Medicare Enrolled Practice Location: 6990 Village Pkwy Ste 201, Dublin, CA 94568 Phone: 408-674-2694
Christine Klein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5325 Broder Blvd, Dublin, CA 94568 Phone: 925-803-7221
Jacqueline Marie Fajardo, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 5601 Arnold Rd Ste 200, Dublin, CA 94568 Phone: 925-440-4593
Jason Samuel Middleton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8555 Wicklow Ln, Dublin, CA 94568 Phone: 510-925-8779 Fax: 510-925-8779
Ms. Jennifer A. Green, PHD; MASTERS DEGREE Counselor Medicare: Medicare Enrolled Practice Location: 4920 Thorndike Ln, Dublin, CA 94568 Phone: 209-701-8610

Razalyn Dyan Nickola, MFT ASSOCIATE - Medicare Counselor in Dublin, CA