Dr Nicole L Bickham, PHD in Mequon, WI - Medicare Psychologist Provider

Dr Nicole L Bickham, PHD is a medicare enrolled "Psychologist" provider in Mequon, Wisconsin. Her current practice location is 1035 W Glen Oaks Ln Ste 204, Mequon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 858-8085.

Dr Nicole L Bickham is licensed to practice in Wisconsin (license number 3577-57) 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 1134666514.

Contact Information

	Dr Nicole L Bickham, PHD
	1035 W Glen Oaks Ln Ste 204, Mequon, WI 53092-3395
	(414) 858-8085
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nicole L Bickham
Gender	Female
Speciality	Psychologist
Location	1035 W Glen Oaks Ln Ste 204, Mequon, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134666514
Provider Enumeration Date: 01/24/2017
Last Update Date: 08/10/2021

Medicare PECOS Information:

PECOS PAC ID: 6800130261
Enrollment ID: I20181212000892

Medical Identifiers

Medical identifiers for Dr Nicole L Bickham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134666514	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	3577-57 (Wisconsin)	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 L Bickham allows following entities to bill medicare on her behalf.

Entity Name	Wholehearted Integrative Bodymind Therapies Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891281606 PECOS PAC ID: 4880933647 Enrollment ID: O20190222001781

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 L Bickham 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 L Bickham, PHD 661 Laverne Dr, Green Bay, WI 54311-5931 Ph: (414) 858-8085	Dr Nicole L Bickham, PHD 1035 W Glen Oaks Ln Ste 204, Mequon, WI 53092-3395 Ph: (414) 858-8085

Reviews and Comments

Psychologist in Mequon, WI

Dr. Charles Mathew Lodl, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11501 N Port Washington Rd, Suite 210, Mequon, WI 53092 Phone: 262-241-8901 Fax: 262-241-8907
Dr. Amardeep Khahra, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1017 W Glen Oaks Ln Ste 171, Mequon, WI 53092 Phone: 262-236-9588
Dr. Cara Christina Raymond, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1035 W Glen Oaks Ln, Suite 204, Mequon, WI 53092 Phone: 847-321-5731
Judy A Walz, RN Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10500 North Port Washington Road, Mequon, WI 53092 Phone: 262-240-0427 Fax: 262-240-0429
Dr. Michael Mazius, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 10303 N Port Washington Rd, #203, Mequon, WI 53092 Phone: 262-241-5955 Fax: 262-241-5926
Mr. Stephen Andrew Gilbertson, LIC PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11501 N Port Washington Rd, Suite 218, Mequon, WI 53092 Phone: 262-240-9620

Dr Nicole L Bickham, PHD - Medicare Psychologist in Mequon, WI