Nicole Marie Stark, MSW, LCSW in Pittsfield, MA - Medicare Clinical Social Worker Provider

Nicole Marie Stark, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Pittsfield, Massachusetts. She graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Be Authentic Indy Llc and her current practice location is 66 West St, Pittsfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 343-4264.

Nicole Marie Stark is licensed to practice in Indiana (license number 34007088A) 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 1528320181.

Contact Information

	Nicole Marie Stark, MSW, LCSW
	66 West St, Pittsfield, MA 01201-5861
	(413) 343-4264
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Marie Stark
Gender	Female
Speciality	Clinical Social Worker
Experience	13 Years
Location	66 West St, Pittsfield, Massachusetts
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:

Nicole Marie Stark graduated from medical school in 2012

NPI Data:

NPI Number: 1528320181
Provider Enumeration Date: 06/11/2012
Last Update Date: 08/08/2024

Medicare PECOS Information:

PECOS PAC ID: 3173846011
Enrollment ID: I20141229000187

Medical Identifiers

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

Identifier	Type	State	Issuer
1528320181	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LICSW128164 (Massachusetts)	Secondary
1041C0700X	Social Worker - Clinical	34007088A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Be Authentic Indy Llc	7618341496	8

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 Marie Stark allows following entities to bill medicare on her behalf.

Entity Name	Be Authentic Indy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841901022 PECOS PAC ID: 7618341496 Enrollment ID: O20230317000399

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 Marie Stark 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 Marie Stark, MSW, LCSW 8606 Allisonville Rd Ste 120, Indianapolis, IN 46250-3585 Ph: (317) 951-9358	Nicole Marie Stark, MSW, LCSW 66 West St, Pittsfield, MA 01201-5861 Ph: (413) 343-4264

Reviews and Comments

Social Worker in Pittsfield, MA

Douglas Beaven Spoehr, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 725 North St, Pittsfield, MA 01201 Phone: 413-447-2655 Fax: 413-447-2656
Ashley Jane Wren, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 66 West St, Pittsfield, MA 01201 Phone: 413-629-1198
Karen Anne Mcnulty, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 725 North Street, Dept Of Psychiatry, Pittsfield, MA 01201 Phone: 413-447-2655 Fax: 413-447-2656
Holly Merchant, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 877 South St Ste 1w, Pittsfield, MA 01201 Phone: 413-443-2994
Mrs. Briana E Higgins, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 66 West St, Pittsfield, MA 01201 Phone: 413-343-4264 Fax: 413-215-1330
Karen Browne, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 139 North St, Pittsfield, MA 01201 Phone: 413-442-4003
Susan Kelly, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 42 Wendell Avenue, Pittsfield, MA 01201 Phone: 413-281-8984 Fax: 413-496-9116

Nicole Marie Stark, MSW, LCSW - Medicare Clinical Social Worker in Pittsfield, MA