Ms Mary Kathryn Nicoll, LCSW in Yalesville, CT - Medicare Social Worker Provider

Ms Mary Kathryn Nicoll, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Yalesville, Connecticut. Her current practice location is 300 Church St Ste 105, Yalesville, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 679-0849.

Ms Mary Kathryn Nicoll is licensed to practice in Connecticut (license number 002617) 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 1376664722.

Contact Information

	Ms Mary Kathryn Nicoll, LCSW
	300 Church St Ste 105, Yalesville, CT 06492-2253
	(203) 679-0849
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Mary Kathryn Nicoll
Gender	Female
Speciality	Social Worker - Clinical
Location	300 Church St Ste 105, Yalesville, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376664722
Provider Enumeration Date: 04/03/2007
Last Update Date: 05/10/2012

Medicare PECOS Information:

PECOS PAC ID: 2860408648
Enrollment ID: I20060303000088

Medical Identifiers

Medical identifiers for Ms Mary Kathryn Nicoll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376664722	NPI	-	NPPES
004237352	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	002617 (Connecticut)	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. Ms Mary Kathryn Nicoll allows following entities to bill medicare on her behalf.

Entity Name	Soul Friends, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154499804 PECOS PAC ID: 9133135916 Enrollment ID: O20060302000694

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. Ms Mary Kathryn Nicoll 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
Ms Mary Kathryn Nicoll, LCSW 315 N Brooksvale Rd, Cheshire, CT 06410-3336 Ph: (203) 272-8486	Ms Mary Kathryn Nicoll, LCSW 300 Church St Ste 105, Yalesville, CT 06492-2253 Ph: (203) 679-0849

Reviews and Comments

Social Worker in Yalesville, CT

Sandra Gonsalves, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Church St, Suite 202, Yalesville, CT 06492 Phone: 203-265-7770 Fax: 203-294-0536
Ms. Leanne Marie Coppola, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Church St, Yalesville, CT 06492 Phone: 860-301-0703
Kathryn S Cygler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Church St, Yalesville, CT 06492 Phone: 203-679-0849 Fax: 203-679-0348
Mrs. Peggy Arlene Lane, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 300 Church St, Yalesville, CT 06492 Phone: 203-265-7770 Fax: 203-237-2360
Karen Lynn Annis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19 Hillside Lane, Yalesville, CT 06492 Phone: 203-376-9880
Alexa Jane Lee Sutherland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Church St, Yalesville, CT 06492 Phone: 203-679-0849

Ms Mary Kathryn Nicoll, LCSW - Medicare Clinical Social Worker in Yalesville, CT