Nicholas Allan Yergens, LMHC in Fort Wayne, IN

Nicholas Allan Yergens, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Fort Wayne, Indiana. His current practice location is 909 E State Blvd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 481-2700.

Nicholas Allan Yergens is licensed to practice in Indiana (license number 39005260A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942019575.

Contact Information

	Nicholas Allan Yergens, LMHC
	909 E State Blvd, Fort Wayne, IN 46805-3404
	(260) 481-2700
	(260) 481-2838

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Allan Yergens
Gender	Male
Speciality	Counselor - Mental Health
Location	909 E State Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942019575
Provider Enumeration Date: 01/07/2025
Last Update Date: 01/23/2025

Medicare PECOS Information:

PECOS PAC ID: 9739618612
Enrollment ID: I20250122000873

Medical Identifiers

Medical identifiers for Nicholas Allan Yergens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942019575	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	39005260A (Indiana)	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. Nicholas Allan Yergens allows following entities to bill medicare on his behalf.

Entity Name	Park Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306897004 PECOS PAC ID: 5991794794 Enrollment ID: O20041213000226

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. Nicholas Allan Yergens 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
Nicholas Allan Yergens, LMHC 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Nicholas Allan Yergens, LMHC 909 E State Blvd, Fort Wayne, IN 46805-3404 Ph: (260) 481-2700

Reviews and Comments

Counselor in Fort Wayne, IN

Courtney Lesley Washington, Counselor Medicare: Accepting Medicare Assignments Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700
Alicia Jean Digiulio, MA, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9417 Saint Joe Center Rd, Fort Wayne, IN 46835 Phone: 260-255-5289
Jennifer Perry, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2709
Raphilla D Dixie, Counselor Medicare: Medicare Enrolled Practice Location: 3005 E State Blvd, Fort Wayne, IN 46805 Phone: 260-267-9498 Fax: 260-739-3618
Timothy Jay Hill, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Goshen Rd, Fort Wayne, IN 46808 Phone: 260-471-3500
Mrs. Molly Christina Colglazier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10102 Woodland Plaza Cv Ste A, Fort Wayne, IN 46825 Phone: 260-240-4200
Rita Kay Self, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 E State Blvd, Fort Wayne, IN 46805 Phone: 260-471-2300 Fax: 260-471-2778

Nicholas Allan Yergens, LMHC - Medicare Counselor in Fort Wayne, IN