Mrs Nicole Perry, in Wheaton, IL - Medicare Counselor Provider

Mrs Nicole Perry, is a medicare enrolled "Counselor - Professional" provider in Wheaton, Illinois. Her current practice location is 624 W Roosevelt Rd, Wheaton, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 232-0258.

Mrs Nicole Perry is licensed to practice in Illinois (license number 178009414) 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 1083006563.

Contact Information

	Mrs Nicole Perry,
	624 W Roosevelt Rd, Wheaton, IL 60187-5060
	(708) 232-0258
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nicole Perry
Gender	Female
Speciality	Counselor - Professional
Location	624 W Roosevelt Rd, Wheaton, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083006563
Provider Enumeration Date: 02/20/2015
Last Update Date: 04/02/2025

Medicare PECOS Information:

PECOS PAC ID: 2163778309
Enrollment ID: I20240109000279

Medical Identifiers

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

Identifier	Type	State	Issuer
1083006563	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	178009414 (Illinois)	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. Mrs Nicole Perry allows following entities to bill medicare on her behalf.

Entity Name	515 Fitness Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134508310 PECOS PAC ID: 6103172341 Enrollment ID: O20180702001423

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 Perry 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 Perry, 713 Warrenville Rd, Wheaton, IL 60189-6368 Ph: (440) 667-6195	Mrs Nicole Perry, 624 W Roosevelt Rd, Wheaton, IL 60187-5060 Ph: (708) 232-0258

Reviews and Comments

Counselor in Wheaton, IL

Ariana Santacruz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 N County Farm Rd, Wheaton, IL 60187 Phone: 630-682-7400
Monique D Copprue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 N County Farm Rd, Wheaton, IL 60187 Phone: 630-682-7400
Brendan Christopher Bell, MA LCPC Counselor Medicare: Medicare Enrolled Practice Location: 620 W Roosevelt Rd, Suite D 1, Wheaton, IL 60187 Phone: 630-462-1999 Fax: 630-462-0059
Ms. Diane Johanning, M.A., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Manchester Rd Ste 900, Wheaton, IL 60187 Phone: 630-665-1255
Mrs. Amy M Churchill, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1616 E Roosevelt Rd, Suite 8, Wheaton, IL 60187 Phone: 630-588-1201
Sergio Martinez, LSW, CADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2100 Manchester Rd Ste 1510, Wheaton, IL 60187 Phone: 630-653-1717 Fax: 630-653-9691
Fallon Weatherspoon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 N County Farm Rd, Wheaton, IL 60187 Phone: 630-682-7400

Mrs Nicole Perry, - Medicare Counselor in Wheaton, IL