Nicole Antoinette Shields, MS, LCPC, QMHP - Medicare Counselor in Quincy, IL

Nicole Antoinette Shields, MS, LCPC, QMHP is a medicare enrolled "Counselor - Professional" provider in Quincy, Illinois. Her current practice location is 1025 Maine St, Quincy, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 222-6550.

Nicole Antoinette Shields is licensed to practice in Illinois (license number 180006745) 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 1023104940.

Contact Information

Nicole Antoinette Shields, MS, LCPC, QMHP
1025 Maine St,
Quincy, IL 62301-4038
(217) 222-6550
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameNicole Antoinette Shields
GenderFemale
SpecialityCounselor - Professional
Location1025 Maine St, Quincy, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023104940
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 05/29/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7012367543
  • Enrollment ID: I20231227000141

Medical Identifiers

Medical identifiers for Nicole Antoinette Shields such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023104940NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
101YP2500XCounselor - Professional 180006745 (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. Nicole Antoinette Shields allows following entities to bill medicare on her behalf.
Entity NameQuincy Physicians & Surgeons Clinic, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548234198
PECOS PAC ID: 0749192375
Enrollment ID: O20031103000445

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 Antoinette Shields 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 AddressPractice Location Address
Nicole Antoinette Shields, MS, LCPC, QMHP
2633 Brook Drive,
Quincy, IL 62301

Ph: (217) 223-0413
Nicole Antoinette Shields, MS, LCPC, QMHP
1025 Maine St,
Quincy, IL 62301-4038

Ph: (217) 222-6550

Reviews and Comments


Counselor in Quincy, IL

Stacey Samantha Soliman Juilfs, LPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 639 York St Rm 212, Quincy, IL 62301
Phone: 217-222-6271    
Mrs. Anne-claire Marie Vahle, MSED
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 205 S 24th St, Quincy, IL 62301
Phone: 217-222-0034    Fax: 217-222-3865
Janis Lynn Frageman, BA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4409 Maine, Quincy, IL 62305
Phone: 217-223-0423    Fax: 217-223-0461
Kathleen Jean Nelson, M.S. ED.
Counselor
Medicare: Medicare Enrolled
Practice Location: 1025 Maine St, Quincy, IL 62301
Phone: 217-222-6550    Fax: 217-277-2253
Martinette Z Douglas,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2931 Payson Hts Apt Suite, Quincy, IL 62305
Phone: 773-669-8168    
Heidi Muegge, BS, MHP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4409 Maine St, Quincy, IL 62305
Phone: 217-223-0423    Fax: 217-223-0461

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.