Rebecca Louise Nicklay, LICSW in Bloomington, MN - Medicare Social Worker Provider

Rebecca Louise Nicklay, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Bloomington, Minnesota. Her current practice location is 7920 Old Cedar Ave S, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 428-1899.

Rebecca Louise Nicklay is licensed to practice in Minnesota (license number 15961) 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 1588361174.

Contact Information

	Rebecca Louise Nicklay, LICSW
	7920 Old Cedar Ave S, Bloomington, MN 55425-1207
	(952) 428-1899
	(952) 428-1723

Map and Direction

Healthcare Provider's Profile

Full Name	Rebecca Louise Nicklay
Gender	Female
Speciality	Social Worker - Clinical
Location	7920 Old Cedar Ave S, Bloomington, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588361174
Provider Enumeration Date: 02/14/2023
Last Update Date: 05/18/2023

Medicare PECOS Information:

PECOS PAC ID: 7810362076
Enrollment ID: I20230331002249

Medical Identifiers

Medical identifiers for Rebecca Louise Nicklay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588361174	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	15961 (Minnesota)	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. Rebecca Louise Nicklay allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713

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. Rebecca Louise Nicklay 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
Rebecca Louise Nicklay, LICSW Po Box 206, Minneapolis, MN 55480-0206 Ph: (612) 262-9000	Rebecca Louise Nicklay, LICSW 7920 Old Cedar Ave S, Bloomington, MN 55425-1207 Ph: (952) 428-1899

Reviews and Comments

Social Worker in Bloomington, MN

Clare Eileen Schuetz, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1801 American Blvd E Ste 8, Bloomington, MN 55425 Phone: 612-400-6173 Fax: 612-728-5301
Cassandra Lynn Moorhead Ayub, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1801 American Blvd E, Suite 1, Bloomington, MN 55425 Phone: 952-737-6202 Fax: 612-728-5301
Sean Alexander Pagoada, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9911 Brookside Ave, Bloomington, MN 55431 Phone: 305-562-9874
Maria Angelica Keller, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 American Blvd E Ste 134, Bloomington, MN 55420 Phone: 651-338-0913
Sarah Thukral, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1801 American Blvd E, Bloomington, MN 55425 Phone: 952-767-2267
Megan Ferge, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8600 Nicollet Ave S, Bloomington, MN 55420 Phone: 952-541-2800 Fax: 952-886-7015
Emma Mae Buckingham, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1801 American Blvd E Ste 8, Bloomington, MN 55425 Phone: 952-767-2299

Rebecca Louise Nicklay, LICSW - Medicare Clinical Social Worker in Bloomington, MN