Katelyn E Nichols, MSW, LICSW in Golden Valley, MN - Medicare Clinical Social Worker Provider

Katelyn E Nichols, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Golden Valley, Minnesota. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Fairview Express Care and her current practice location is 701 Decatur Ave N Ste 109, Golden Valley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 746-2400.

Katelyn E Nichols is licensed to practice in Minnesota (license number 24502) 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 1801389911.

Contact Information

	Katelyn E Nichols, MSW, LICSW
	701 Decatur Ave N Ste 109, Golden Valley, MN 55427-4363
	(763) 746-2400
	(763) 746-2401

Map and Direction

Healthcare Provider's Profile

Full Name	Katelyn E Nichols
Gender	Female
Speciality	Clinical Social Worker
Experience	11 Years
Location	701 Decatur Ave N Ste 109, Golden Valley, Minnesota
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:

Katelyn E Nichols graduated from medical school in 2015

NPI Data:

NPI Number: 1801389911
Provider Enumeration Date: 06/13/2018
Last Update Date: 06/13/2018

Medicare PECOS Information:

PECOS PAC ID: 2769732494
Enrollment ID: I20180830000722

Medical Identifiers

Medical identifiers for Katelyn E Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801389911	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	24502 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fairview Express Care	3375645179	1733

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. Katelyn E Nichols allows following entities to bill medicare on her behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Healtheast Woodwinds Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356309322 PECOS PAC ID: 9638082563 Enrollment ID: O20031107000110

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

Entity Name	Healtheast St John's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447218482 PECOS PAC ID: 9234035742 Enrollment ID: O20031208000320

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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. Katelyn E 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
Katelyn E Nichols, MSW, LICSW 701 Decatur Ave N Ste 109, Golden Valley, MN 55427-4363 Ph: (763) 746-2400	Katelyn E Nichols, MSW, LICSW 701 Decatur Ave N Ste 109, Golden Valley, MN 55427-4363 Ph: (763) 746-2400

Reviews and Comments

Social Worker in Golden Valley, MN

Iva Joan Stauffer, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5905 Golden Valley Rd, Suite 100, Golden Valley, MN 55422 Phone: 612-617-7802 Fax: 612-331-6772
Melia Joy Mccubbin, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 Decatur Ave N, Suite 109, Golden Valley, MN 55427 Phone: 763-746-2400
Irwin Thompson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5905 Golden Valley Rd Ste 100, Golden Valley, MN 55422 Phone: 763-753-7310 Fax: 763-753-6529
Mrs. Joyce Lynn Ratner, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8085 Wayzata Blvd, Golden Valley, MN 55426 Phone: 612-281-6391
Soreya Mohamud Jama, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1710 Douglas Dr N Ste 226x, Golden Valley, MN 55422 Phone: 612-703-8828 Fax: 952-658-0434
Ms. Rebecca Ann Malooly, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5600 Loring Ln, Golden Valley, MN 55422 Phone: 651-439-0708
Saundra Bryant-lamb, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8401 Wayzata Blvd, Golden Valley, MN 55426 Phone: 763-544-1006

Katelyn E Nichols, MSW, LICSW - Medicare Clinical Social Worker in Golden Valley, MN