Dr Nicole Holland Weiss, PHD in Philadelphia, PA - Medicare Psychologist Provider

Dr Nicole Holland Weiss, PHD is a medicare enrolled "Psychologist" provider in Philadelphia, Pennsylvania. Her current practice location is 3720 Spruce St # 409, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (844) 287-4228.

Dr Nicole Holland Weiss is licensed to practice in Rhode Island (license number PS01734) 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 1578039855.

Contact Information

	Dr Nicole Holland Weiss, PHD
	3720 Spruce St # 409, Philadelphia, PA 19104-4115
	(844) 287-4228
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nicole Holland Weiss
Gender	Female
Speciality	Psychologist
Location	3720 Spruce St # 409, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578039855
Provider Enumeration Date: 10/15/2018
Last Update Date: 01/29/2025

Medicare PECOS Information:

PECOS PAC ID: 9032520630
Enrollment ID: I20201203002014

Medical Identifiers

Medical identifiers for Dr Nicole Holland Weiss such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578039855	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PS01734 (Rhode Island)	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. Dr Nicole Holland Weiss allows following entities to bill medicare on her behalf.

Entity Name	Ricbt, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780776476 PECOS PAC ID: 7517854995 Enrollment ID: O20040301000979

Entity Name	Optum Behavioral Care Of Connecticut Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659152726 PECOS PAC ID: 9436502879 Enrollment ID: O20240311000275

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. Dr Nicole Holland Weiss 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
Dr Nicole Holland Weiss, PHD 3 W Scenic View Dr, Johnston, RI 02919-2935 Ph: () -	Dr Nicole Holland Weiss, PHD 3720 Spruce St # 409, Philadelphia, PA 19104-4115 Ph: (844) 287-4228

Reviews and Comments

Psychologist in Philadelphia, PA

Nancy Allanoff Braveman, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34th Street & Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-7555 Fax: 215-590-7387
Thomas A Bartlett, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1735 Lombard St, Philadelphia, PA 19146 Phone: 215-732-3103 Fax: 215-732-8584
Dr. Michael S. Broder, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1420 Locust St, 7g, Philadelphia, PA 19102 Phone: 215-545-7000 Fax: 215-545-7011
Dr. Lisa Marie Boschi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 90 Rochelle Ave, Philadelphia, PA 19128 Phone: 215-508-3300 Fax: 215-508-3210
Jessica Harpel, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 717-332-5114
Dr. Maria Drvoshanov, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1518 Walnut St Ste 607, Philadelphia, PA 19102 Phone: 571-606-9076
Dr. Rebecca M Hammonds, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3500 Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-1000

Dr Nicole Holland Weiss, PHD - Medicare Psychologist in Philadelphia, PA