Nicolette Phillips, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Grangeville, Idaho. Her current practice location is
304 N State St, Grangeville, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 983-0235.
Nicolette Phillips is licensed to practice in Idaho (license number LCSW-41516) 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 1215672290.
Healthcare Provider's Profile
Full Name | Nicolette Phillips |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 304 N State St, Grangeville, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215672290
- Provider Enumeration Date: 05/03/2022
- Last Update Date: 05/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 9931584422
- Enrollment ID: I20220920001442
Medical Identifiers
Medical identifiers for Nicolette Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215672290 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LCSW-41516 (Idaho) | 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. Nicolette Phillips allows following entities to bill medicare on her behalf.
Entity Name | Camas Professional Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033326301 PECOS PAC ID: 3476579160 Enrollment ID: O20071204000702 |
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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. Nicolette Phillips 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 |
Nicolette Phillips, LCSW Po Box 627, Grangeville, ID 83530-0627 Ph: (208) 983-0235 | Nicolette Phillips, LCSW 304 N State St, Grangeville, ID 83530-1769 Ph: (208) 983-0235 |
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