Ms Nicole Anne List, LCPC in Carlinville, IL - Medicare Counselor Provider

Ms Nicole Anne List, LCPC is a medicare enrolled "Counselor - Professional" provider in Carlinville, Illinois. Her current practice location is 320 S Locust St, Carlinville, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 854-3166.

Ms Nicole Anne List is licensed to practice in Illinois (license number 178009320) 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 1093140253.

Contact Information

	Ms Nicole Anne List, LCPC
	320 S Locust St, Carlinville, IL 62626-1648
	(217) 854-3166
	(217) 854-9729

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Nicole Anne List
Gender	Female
Speciality	Counselor - Professional
Location	320 S Locust St, Carlinville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093140253
Provider Enumeration Date: 09/06/2013
Last Update Date: 02/01/2023

Medicare PECOS Information:

PECOS PAC ID: 8224575410
Enrollment ID: I20240806001535

Medical Identifiers

Medical identifiers for Ms Nicole Anne List such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093140253	NPI	-	NPPES
178009320	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	178009320 (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. Ms Nicole Anne List allows following entities to bill medicare on her behalf.

Entity Name	Locust Street Resource Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558456210 PECOS PAC ID: 6002846599 Enrollment ID: O20050815000615

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. Ms Nicole Anne List 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
Ms Nicole Anne List, LCPC 320 S Locust St, Carlinville, IL 62626-1648 Ph: (217) 854-3166	Ms Nicole Anne List, LCPC 320 S Locust St, Carlinville, IL 62626-1648 Ph: (217) 854-3166

Reviews and Comments

Counselor in Carlinville, IL

Sherry Lynn Kalicak, MA LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 South Locust Street, Carlinville, IL 62626 Phone: 217-854-3166 Fax: 217-854-9729
Mr. William Anderson, MA LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 South Locust Street, Carlinville, IL 62626 Phone: 217-854-3166 Fax: 217-854-9729
Crystal Corso, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 S Locust St, Carlinville, IL 62626 Phone: 217-854-3166 Fax: 217-854-3778
Ms. Deborah Faye Wallace, LCPC LICENSED CLINIC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18772 Rt. 4, Carlinville, IL 62626 Phone: 217-854-2712
Thomas L Frydenger, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20548 Timbered Estates Ln, Carlinville, IL 62626 Phone: 217-854-9737 Fax: 217-854-3525
Molly A. Ondrey, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 S Locust St, Carlinville, IL 62626 Phone: 217-854-3166 Fax: 217-854-9729

Ms Nicole Anne List, LCPC - Medicare Counselor in Carlinville, IL