Nicolai J Weis, LCSW in Lakeland, FL - Medicare Social Worker Provider

Nicolai J Weis, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lakeland, Florida. His current practice location is 1664 Williamsburg Sq, Lakeland, Florida. You can reach out to his office (for appointments etc.) via phone at (863) 519-0575.

Nicolai J Weis is licensed to practice in Florida (license number SW22695) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568913465.

Contact Information

	Nicolai J Weis, LCSW
	1664 Williamsburg Sq, Lakeland, FL 33803-4278
	(863) 519-0575
	(863) 582-9251

Map and Direction

Healthcare Provider's Profile

Full Name	Nicolai J Weis
Gender	Male
Speciality	Social Worker - Clinical
Location	1664 Williamsburg Sq, Lakeland, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568913465
Provider Enumeration Date: 10/17/2016
Last Update Date: 03/27/2024

Medicare PECOS Information:

PECOS PAC ID: 5092154930
Enrollment ID: I20240411003715

Medical Identifiers

Medical identifiers for Nicolai J Weis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568913465	NPI	-	NPPES
121813500	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW22695 (Florida)	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. Nicolai J Weis allows following entities to bill medicare on his behalf.

Entity Name	Peace River Center For Personal Development Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821097767 PECOS PAC ID: 7719877927 Enrollment ID: O20040319000056

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. Nicolai J Weis 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
Nicolai J Weis, LCSW Po Box 1559, Bartow, FL 33831-1559 Ph: (863) 519-0575	Nicolai J Weis, LCSW 1664 Williamsburg Sq, Lakeland, FL 33803-4278 Ph: (863) 519-0575

Reviews and Comments

Social Worker in Lakeland, FL

Mrs. Heather Lynn Prociuk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1140 State Road 540a, Lakeland, FL 33813 Phone: 863-608-0583
Erin Walley Rivera, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5245 N Socrum Loop Rd, Lakeland, FL 33809 Phone: 863-859-1446
Laura Braswell, M.DIV LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2625 Hollingsworth Hill Ave, Lakeland, FL 33803 Phone: 863-660-5243
Ms. Khalilah Garrett, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4541 Breccia Ln, Lakeland, FL 33811 Phone: 804-564-1308
Michelle Means, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1825 Gilmore Ave, Lakeland, FL 33805 Phone: 863-519-0575 Fax: 863-582-9251
Amanda Gillespie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3020 S Florida Ave, Lakeland, FL 33803 Phone: 813-290-8560
Ruth Kimmons, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6736 Lunn Rd, Lakeland, FL 33811 Phone: 863-397-4122

Nicolai J Weis, LCSW - Medicare Clinical Social Worker in Lakeland, FL