Elena Sergeyevna Nichols, LICSW in Winooski, VT - Medicare Clinical Social Worker Provider

Elena Sergeyevna Nichols, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Winooski, Vermont. She graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice University Of Vermont Medical Center Inc and her current practice location is 486 Main St Apt A, Winooski, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 865-3450.

Elena Sergeyevna Nichols is licensed to practice in Vermont (license number 089.0119566) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013588490.

Contact Information

	Elena Sergeyevna Nichols, LICSW
	486 Main St Apt A, Winooski, VT 05404-1338
	(802) 865-3450
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elena Sergeyevna Nichols
Gender	Female
Speciality	Clinical Social Worker
Experience	14 Years
Location	486 Main St Apt A, Winooski, Vermont
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Elena Sergeyevna Nichols graduated from medical school in 2012

NPI Data:

NPI Number: 1013588490
Provider Enumeration Date: 07/07/2021
Last Update Date: 07/07/2021

Medicare PECOS Information:

PECOS PAC ID: 7416352273
Enrollment ID: I20210818000196

Medical Identifiers

Medical identifiers for Elena Sergeyevna Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013588490	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	089.0119566 (Vermont)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Univ. Of Vermont - Fletcher Allen Health Care	Burlington, VT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Vermont Medical Center Inc	3779491071	1060

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. Elena Sergeyevna Nichols allows following entities to bill medicare on her behalf.

Entity Name	Matrix Health Systems Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104872712 PECOS PAC ID: 1052219359 Enrollment ID: O20031230000156

Entity Name	University Of Vermont Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047

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. Elena Sergeyevna Nichols 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
Elena Sergeyevna Nichols, LICSW 486 Main St Apt A, Winooski, VT 05404-1338 Ph: (802) 865-3450	Elena Sergeyevna Nichols, LICSW 486 Main St Apt A, Winooski, VT 05404-1338 Ph: (802) 865-3450

Reviews and Comments

Social Worker in Winooski, VT

John Ward, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 79 Weaver Street, Vermont Childrens Aid Society, Winooski, VT 05404 Phone: 802-655-0006 Fax: 802-655-0073
Alice Siegriest, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 79 Weaver St, Vermont Children's Aid Society, Winooski, VT 05404 Phone: 802-655-0006 Fax: 802-655-0073
Ally Bernstein, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 486 Main St Apt A, Winooski, VT 05404 Phone: 802-432-8184
Tara Graham, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 20 W Canal St Ste C2, Winooski, VT 05404 Phone: 802-448-4185 Fax: 802-654-7601
Kara Joyce Fauth, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 32 Malletts Bay Ave Ste B, Winooski, VT 05404 Phone: 802-655-4422
Christine Elizabeth Fellerhoff, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 W Canal St Ste C2-3, Winooski, VT 05404 Phone: 609-864-4027

Elena Sergeyevna Nichols, LICSW - Medicare Clinical Social Worker in Winooski, VT