Nicolette Coulson, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Cleveland Hts, Ohio. Her current practice location is
3440 Silsby Rd, Cleveland Hts, Ohio. You can reach out to her office (for appointments etc.) via phone at
(806) 410-6415.
Nicolette Coulson is licensed to practice in Ohio (license number 0035626) 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 1548996945.
Provider's Profile
Full Name | Nicolette Coulson |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 3440 Silsby Rd, Cleveland Hts, Ohio |
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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: 1548996945
- Provider Enumeration Date: 07/27/2022
- Last Update Date: 01/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163869975
- Enrollment ID: I20240327004215
Medical Identifiers
Medical identifiers for Nicolette Coulson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548996945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 490102 (Ohio) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0035626 (Ohio) | 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. Nicolette Coulson allows following entities to bill medicare on her behalf.
Entity Name | Northeast Ohio Neighborhood Health Services, Inc. |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
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Entity Identifiers | NPI Number: 1851302665 PECOS PAC ID: 5799756615 Enrollment ID: O20040804000672 |
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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. Nicolette Coulson 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 |
Nicolette Coulson, PMHNP-BC 3440 Silsby Rd, Cleveland Hts, OH 44118-3651 Ph: (806) 410-6415 | Nicolette Coulson, PMHNP-BC 3440 Silsby Rd, Cleveland Hts, OH 44118-3651 Ph: (806) 410-6415 |
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