Mrs Nicole Teresa Genbauer, LPC in Lake Bluff, IL

Mrs Nicole Teresa Genbauer, LPC is a medicare enrolled "Counselor - Professional" provider in Lake Bluff, Illinois. Her current practice location is 900 North Shore Drive Suite 120, Lake Bluff, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 615-1698.

Mrs Nicole Teresa Genbauer is licensed to practice in Illinois (license number 178.008491) 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 1700126067.

Contact Information

	Mrs Nicole Teresa Genbauer, LPC
	900 North Shore Drive Suite 120, Lake Bluff, IL 60044
	(847) 615-1698
	(847) 615-1697

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nicole Teresa Genbauer
Gender	Female
Speciality	Counselor - Professional
Location	900 North Shore Drive Suite 120, Lake Bluff, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700126067
Provider Enumeration Date: 02/25/2013
Last Update Date: 02/21/2014

Medicare PECOS Information:

PECOS PAC ID: 1850830316
Enrollment ID: I20240828001851

Medical Identifiers

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

Identifier	Type	State	Issuer
1700126067	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	178.008491 (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 Teresa Genbauer allows following entities to bill medicare on her behalf.

Entity Name	Chicago Integrative Center For Psychology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649785486 PECOS PAC ID: 6800288754 Enrollment ID: O20220126002063

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 Teresa Genbauer 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 Teresa Genbauer, LPC 900 North Shore Drive Suite 120, Lake Bluff, IL 60044 Ph: (847) 615-1698	Mrs Nicole Teresa Genbauer, LPC 900 North Shore Drive Suite 120, Lake Bluff, IL 60044 Ph: (847) 615-1698

Reviews and Comments

Counselor in Lake Bluff, IL

Mrs. Hope Mozo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Waukegan Rd Ste 204, Lake Bluff, IL 60044 Phone: 847-821-9346
Ms. Ryanne R Bright, LCPC, CADC Counselor Medicare: Medicare Enrolled Practice Location: 900 N Shore Dr Ste 120, Lake Bluff, IL 60044 Phone: 847-615-1698 Fax: 847-615-1697
Dr. Luis San Roman, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 100 N Waukegan Rd Ste 204, Lake Bluff, IL 60044 Phone: 847-821-9346
Luther Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Waukegan Rd, Suite 204, Lake Bluff, IL 60044 Phone: 224-544-9167
Jennifer Calliss, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 N Skokie Hwy, Suite 203, Lake Bluff, IL 60044 Phone: 847-800-1167 Fax: 847-295-6176
Kysa R Epstein, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 900 North Shore Dr Ste 120, Lake Bluff, IL 60044 Phone: 847-615-1698 Fax: 847-615-1697
Michael T Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Waukegan Rd Ste 204, Lake Bluff, IL 60044 Phone: 847-821-9346

Mrs Nicole Teresa Genbauer, LPC - Medicare Counselor in Lake Bluff, IL