Mrs Nicole Danielle Koscielak, in Santa Fe Springs, CA

Mrs Nicole Danielle Koscielak, is a medicare enrolled "Social Worker - Clinical" provider in Santa Fe Springs, California. Her current practice location is 11731 Telegraph Rd Ste K, Santa Fe Springs, California. You can reach out to her office (for appointments etc.) via phone at (562) 907-7429.

Mrs Nicole Danielle Koscielak is licensed to practice in California (license number LCSW80467) 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 1538502794.

Contact Information

	Mrs Nicole Danielle Koscielak,
	11731 Telegraph Rd Ste K, Santa Fe Springs, CA 90670-6815
	(562) 907-7429
	(562) 696-8640

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nicole Danielle Koscielak
Gender	Female
Speciality	Social Worker - Clinical
Location	11731 Telegraph Rd Ste K, Santa Fe Springs, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538502794
Provider Enumeration Date: 04/08/2013
Last Update Date: 01/06/2022

Medicare PECOS Information:

PECOS PAC ID: 3375805195
Enrollment ID: I20180314002177

Medical Identifiers

Medical identifiers for Mrs Nicole Danielle Koscielak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538502794	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW80467 (California)	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. Mrs Nicole Danielle Koscielak allows following entities to bill medicare on her behalf.

Entity Name	Pacific Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255496105 PECOS PAC ID: 4082008420 Enrollment ID: O20220228001926

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. Mrs Nicole Danielle Koscielak 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
Mrs Nicole Danielle Koscielak, 11731 Telegraph Rd Ste K, Santa Fe Springs, CA 90670-6815 Ph: (562) 907-7429	Mrs Nicole Danielle Koscielak, 11731 Telegraph Rd Ste K, Santa Fe Springs, CA 90670-6815 Ph: (562) 907-7429

Reviews and Comments

Social Worker in Santa Fe Springs, CA

Saskia Gonzalez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10355 Slusher Dr, Santa Fe Springs, CA 90670 Phone: 562-903-5309
Miriam Jeannette Ruiz, LCSW, CADC II Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12110 Slauson Ave Ste 16, Santa Fe Springs, CA 90670 Phone: 323-524-9347
Ms. Phyllis Rae Noriega, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10355 Slusher Dr, Santa Fe Springs, CA 90670 Phone: 562-903-5269 Fax: 562-944-2316
James William Clark, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11015 Bloomfield Ave, Santa Fe Springs, CA 90670 Phone: 562-906-2676
Latrica Anne Cooper, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10210 Orr And Day Rd, Santa Fe Springs, CA 90670 Phone: 562-348-0083
Meagan Bryanna Morales, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11741 Telegraph Rd Ste A, Santa Fe Springs, CA 90670 Phone: 562-801-0318
Leila Aguirre, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11015 Bloomfield Ave, Santa Fe Springs, CA 90670 Phone: 562-906-2686

Mrs Nicole Danielle Koscielak, - Medicare Clinical Social Worker in Santa Fe Springs, CA