Mrs Nicole Andrea Wint, in Peachtree City, GA

Mrs Nicole Andrea Wint, is a medicare enrolled "Counselor - Mental Health" provider in Peachtree City, Georgia. Her current practice location is 112 Vivian Ln, Peachtree City, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 670-1604.

Mrs Nicole Andrea Wint is licensed to practice in Washington (license number SC60819452) 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 1104360171.

Contact Information

	Mrs Nicole Andrea Wint,
	112 Vivian Ln, Peachtree City, GA 30269-2305
	(706) 670-1604
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nicole Andrea Wint
Gender	Female
Speciality	Counselor - Mental Health
Location	112 Vivian Ln, Peachtree City, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104360171
Provider Enumeration Date: 12/11/2016
Last Update Date: 01/04/2023

Medicare PECOS Information:

PECOS PAC ID: 9032584255
Enrollment ID: I20230331000703

Medical Identifiers

Medical identifiers for Mrs Nicole Andrea Wint such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104360171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	SC60819452 (Washington)	Primary
1041C0700X	Social Worker - Clinical	CSW007843 (Georgia)	Secondary

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. Mrs Nicole Andrea Wint allows following entities to bill medicare on her behalf.

Entity Name	Affirm Counseling Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427768837 PECOS PAC ID: 4082088612 Enrollment ID: O20230323000172

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. Mrs Nicole Andrea Wint 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
Mrs Nicole Andrea Wint, 112 Vivian Ln, Peachtree City, GA 30269-2305 Ph: (470) 667-0160	Mrs Nicole Andrea Wint, 112 Vivian Ln, Peachtree City, GA 30269-2305 Ph: (706) 670-1604

Reviews and Comments

Counselor in Peachtree City, GA

Abigail Drew Abel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Prime Pt, Building 2 Suite D, Peachtree City, GA 30269 Phone: 678-788-6025
Keishla Suazo-padilla, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Westpark Dr Ste 325, Peachtree City, GA 30269 Phone: 770-632-5444
Tonya Gilmore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 317 Welton Way, Peachtree City, GA 30269 Phone: 678-852-8024
Ann Davidson Sheerin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Westpark Dr Ste 130, Peachtree City, GA 30269 Phone: 404-747-7709
Sathiya Priya Palanisamy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6000 Shakerag Hl Ste 314, Peachtree City, GA 30269 Phone: 404-977-6712
Crystal Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1303 Commerce Dr, Peachtree City, GA 30269 Phone: 770-862-6088
Ashley Ann Bonvillain, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 Eastbrook Bnd, Suite 200, Peachtree City, GA 30269 Phone: 770-486-1140 Fax: 678-669-2693

Mrs Nicole Andrea Wint, - Medicare Counselor in Peachtree City, GA