Nicole Anne Holbrook, LMSW is a medicare enrolled "Social Worker" provider in Lansing, Michigan. Her current practice location is
1717 N High St, Lansing, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 372-4700.
Nicole Anne Holbrook is licensed to practice in Michigan (license number 6801106651) 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 1881102945.
Healthcare Provider's Profile
| Full Name | Nicole Anne Holbrook |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 1717 N High St, Lansing, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881102945
- Provider Enumeration Date: 01/11/2018
- Last Update Date: 05/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 6406273457
- Enrollment ID: I20200904001616
Medical Identifiers
Medical identifiers for Nicole Anne Holbrook such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881102945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Michigan) | Secondary |
| 104100000X | Social Worker | 6801106651 (Michigan) | 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. Nicole Anne Holbrook allows following entities to bill medicare on her behalf.
| Entity Name | Richard Kneip, Ph.d., P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679739700
PECOS PAC ID: 4880768415
Enrollment ID: O20080731000086 |
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| Entity Name | R Christopher Deboer Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225594187
PECOS PAC ID: 7416375001
Enrollment ID: O20200914002519 |
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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. Nicole Anne Holbrook 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 |
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Nicole Anne Holbrook, LMSW
640 3 Mile Rd Nw Ste G,
Grand Rapids, MI 49544-8209
Ph: (517) 234-3826 | Nicole Anne Holbrook, LMSW
1717 N High St,
Lansing, MI 48906-4529
Ph: (517) 372-4700 |
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