Nicole Brenneman, LCSW in Bend, OR - Medicare Social Worker Provider

Nicole Brenneman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bend, Oregon. Her current practice location is 1435 Ne 4th St, Bend, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 904-5216.

Nicole Brenneman is licensed to practice in Oregon (license number L8278) 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 1215305446.

Contact Information

	Nicole Brenneman, LCSW
	1435 Ne 4th St, Bend, OR 97701-4200
	(541) 904-5216
	(541) 527-4347

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Brenneman
Gender	Female
Speciality	Social Worker - Clinical
Location	1435 Ne 4th St, Bend, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215305446
Provider Enumeration Date: 09/03/2015
Last Update Date: 04/16/2025

Medicare PECOS Information:

PECOS PAC ID: 1456788793
Enrollment ID: I20200327000683

Medical Identifiers

Medical identifiers for Nicole Brenneman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215305446	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	L8278 (Oregon)	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. Nicole Brenneman allows following entities to bill medicare on her behalf.

Entity Name	Lane County Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326138314 PECOS PAC ID: 7416853833 Enrollment ID: O20040309000023

Entity Name	Brightways Counseling Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689191165 PECOS PAC ID: 4688907827 Enrollment ID: O20190603003122

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. Nicole Brenneman 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
Nicole Brenneman, LCSW 7515 Falcon Crest Dr # 200, Redmond, OR 97756-5014 Ph: (541) 682-3530	Nicole Brenneman, LCSW 1435 Ne 4th St, Bend, OR 97701-4200 Ph: (541) 904-5216

Reviews and Comments

Social Worker in Bend, OR

Cara Miller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1435 Ne 4th St, Bend, OR 97701 Phone: 541-904-5216 Fax: 541-527-4347
Jessica Marcev, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2669 Ne Twin Knolls Dr Ste 103, Bend, OR 97701 Phone: 541-205-9235
Brianna Morzov, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-516-3890 Fax: 541-926-4247
Wendy Friess, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1435 Ne 4th St, Bend, OR 97701 Phone: 541-904-5216 Fax: 541-527-4347
Kirsten Romney, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 22022 Nelson Rd, Bend, OR 97701 Phone: 541-617-8989
Carla Elizabeth Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-6363
Veronica Leigh Mcclain, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 Nw Oregon Ave Ste 202, Bend, OR 97703 Phone: 541-846-8173

Nicole Brenneman, LCSW - Medicare Clinical Social Worker in Bend, OR