Ms Nikkala Leeann Kordzik, in Universal City, TX

Ms Nikkala Leeann Kordzik, is a medicare enrolled "Counselor - Mental Health" provider in Universal City, Texas. Her current practice location is 433 Kitty Hawk Rd Ste 219, Universal City, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 566-1280.

Ms Nikkala Leeann Kordzik is licensed to practice in Texas (license number 74795) 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 1598225575.

Contact Information

	Ms Nikkala Leeann Kordzik,
	433 Kitty Hawk Rd Ste 219, Universal City, TX 78148-3829
	(210) 566-1280
	(210) 579-8533

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Nikkala Leeann Kordzik
Gender	Female
Speciality	Counselor - Mental Health
Location	433 Kitty Hawk Rd Ste 219, Universal City, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598225575
Provider Enumeration Date: 03/25/2019
Last Update Date: 03/18/2024

Medicare PECOS Information:

PECOS PAC ID: 7517403579
Enrollment ID: I20240725003948

Medical Identifiers

Medical identifiers for Ms Nikkala Leeann Kordzik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598225575	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	74795 (Texas)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	13761 (Texas)	Secondary
101YM0800X	Counselor - Mental Health	74795 (Texas)	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 Nikkala Leeann Kordzik allows following entities to bill medicare on her behalf.

Entity Name	Alba Wellness Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891033577 PECOS PAC ID: 5092070789 Enrollment ID: O20180530001478

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549

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 Nikkala Leeann Kordzik 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 Nikkala Leeann Kordzik, 433 Kitty Hawk Rd Ste 219, Universal City, TX 78148-3829 Ph: (210) 566-1280	Ms Nikkala Leeann Kordzik, 433 Kitty Hawk Rd Ste 219, Universal City, TX 78148-3829 Ph: (210) 566-1280

Reviews and Comments

Counselor in Universal City, TX

Marina Jimenez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 Kitty Hawk Rd Ste 219, Universal City, TX 78148 Phone: 210-566-1280 Fax: 210-579-8533
Valerie L Mendoza, LPC Counselor Medicare: Medicare Enrolled Practice Location: 433 Kitty Hawk Rd Ste 219, Universal City, TX 78148 Phone: 210-846-1343
Ruth M Castillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8722 Phoenix Ave, Universal City, TX 78148 Phone: 726-203-5429
Brandi Dawn Martin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Pat Booker Rd Ste 208, Universal City, TX 78148 Phone: 830-570-9979
Ms. Lawanda Jeannete Fennell, LPC-INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Pat Booker Rd Ste 204, Universal City, TX 78148 Phone: 210-834-5017 Fax: 210-855-0931
Mrs. Jacqueline Annette Tobar-lax, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 Kitty Hawk Rd, Universal City, TX 78148 Phone: 210-549-1704
Ms. Gladys Cisneros, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 Kitty Hawk Rd, Suite 219, Universal City, TX 78148 Phone: 210-566-1280 Fax: 210-579-8533

Ms Nikkala Leeann Kordzik, - Medicare Counselor in Universal City, TX