Tammi R Nicholson, LMHCA in Paoli, IN - Medicare Counselor Provider

Tammi R Nicholson, LMHCA is a medicare enrolled "Counselor - Mental Health" provider in Paoli, Indiana. Her current practice location is 488 W Hospital Rd, Paoli, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 723-4305.

Tammi R Nicholson 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 1043819915.

Contact Information

	Tammi R Nicholson, LMHCA
	488 W Hospital Rd, Paoli, IN 47454-8807
	(812) 723-4305
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tammi R Nicholson
Gender	Female
Speciality	Counselor - Mental Health
Location	488 W Hospital Rd, Paoli, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043819915
Provider Enumeration Date: 10/22/2020
Last Update Date: 10/22/2020

Medicare PECOS Information:

PECOS PAC ID: 9638527575
Enrollment ID: I20231202000251

Medical Identifiers

Medical identifiers for Tammi R Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043819915	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (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. Tammi R Nicholson allows following entities to bill medicare on her behalf.

Entity Name	Lifespring Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851489942 PECOS PAC ID: 5294624508 Enrollment ID: O20040805000332

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. Tammi R Nicholson 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
Tammi R Nicholson, LMHCA 1208 Old State Road 60 E, Salem, IN 47167-9703 Ph: () -	Tammi R Nicholson, LMHCA 488 W Hospital Rd, Paoli, IN 47454-8807 Ph: (812) 723-4305

Reviews and Comments

Counselor in Paoli, IN

Jason Paul Price, Counselor Medicare: Not Enrolled in Medicare Practice Location: 946 S Ridgecrest Ln, Paoli, IN 47454 Phone: 812-865-6591
Mrs. Sherrie Lynn Anderson, 99097310A LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 W Longest St, Paoli, IN 47454 Phone: 812-723-3944
Sara Rebecca Beach, LMHC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 488 W Hospital Rd, Paoli, IN 47454 Phone: 812-723-4301

Tammi R Nicholson, LMHCA - Medicare Counselor in Paoli, IN