Stacey Ann Nicely, in Logansport, IN - Medicare Psychologist Provider

Stacey Ann Nicely, is a medicare enrolled "Psychologist" provider in Logansport, Indiana. Her current practice location is 1015 Michigan Ave, Logansport, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 722-5151.

Stacey Ann Nicely 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 1710401310.

Contact Information

	Stacey Ann Nicely,
	1015 Michigan Ave, Logansport, IN 46947-1526
	(574) 722-5151
	(574) 722-1791

Map and Direction

Healthcare Provider's Profile

Full Name	Stacey Ann Nicely
Gender	Female
Speciality	Psychologist
Location	1015 Michigan Ave, Logansport, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710401310
Provider Enumeration Date: 07/26/2017
Last Update Date: 07/26/2017

Medicare PECOS Information:

PECOS PAC ID: 5698138568
Enrollment ID: I20230824002349

Medical Identifiers

Medical identifiers for Stacey Ann Nicely such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710401310	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (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. Stacey Ann Nicely allows following entities to bill medicare on her behalf.

Entity Name	Life Coach Psychology Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831495993 PECOS PAC ID: 9133304744 Enrollment ID: O20110426000255

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. Stacey Ann Nicely 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
Stacey Ann Nicely, 800 Fulton St, Logansport, IN 46947-1577 Ph: () -	Stacey Ann Nicely, 1015 Michigan Ave, Logansport, IN 46947-1526 Ph: (574) 722-5151

Reviews and Comments

Psychologist in Logansport, IN

Dr. Shana Markle, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Fulton St, Logansport, IN 46947 Phone: 574-722-5151 Fax: 574-722-1791
Karen Marks, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2829 George St, Logansport, IN 46947 Phone: 574-753-3515
Patsy A Brock, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3710 W Willow Woods Dr, Logansport, IN 46947 Phone: 574-870-6527
Brett Kuykendall, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1015 Michigan Ave, Logansport, IN 46947 Phone: 574-722-5151
Megan Elizabeth Shaal, PSY.D., HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1098 S State Road 25, Logansport, IN 46947 Phone: 574-737-3887
Franka Chin Hong, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2829 George St, Logansport, IN 46947 Phone: 574-753-3515

Stacey Ann Nicely, - Medicare Psychologist in Logansport, IN