Nicole Ayssa Lollis, LCMHC in Kernersville, NC

Nicole Ayssa Lollis, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in Kernersville, North Carolina. Her current practice location is 1730 Kernersville Medical Pkwy Ste 101, Kernersville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 564-4950.

Nicole Ayssa Lollis is licensed to practice in North Carolina (license number 13006) 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 1851816193.

Contact Information

	Nicole Ayssa Lollis, LCMHC
	1730 Kernersville Medical Pkwy Ste 101, Kernersville, NC 27284-7198
	(336) 564-4950
	(336) 564-4959

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Ayssa Lollis
Gender	Female
Speciality	Counselor - Mental Health
Location	1730 Kernersville Medical Pkwy Ste 101, Kernersville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851816193
Provider Enumeration Date: 08/08/2017
Last Update Date: 10/29/2024

Medicare PECOS Information:

PECOS PAC ID: 1153857974
Enrollment ID: I20241204000136

Medical Identifiers

Medical identifiers for Nicole Ayssa Lollis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851816193	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	13006 (North Carolina)	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 Ayssa Lollis allows following entities to bill medicare on her behalf.

Entity Name	Novant Health Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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 Ayssa Lollis 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
Nicole Ayssa Lollis, LCMHC Po Box 60447, Charlotte, NC 28260-0447 Ph: (336) 564-4950	Nicole Ayssa Lollis, LCMHC 1730 Kernersville Medical Pkwy Ste 101, Kernersville, NC 27284-7198 Ph: (336) 564-4950

Reviews and Comments

Counselor in Kernersville, NC

Lauren Marie Gallison, M.S., LPCA Counselor Medicare: Medicare Enrolled Practice Location: 280 Broad St Ste E, Kernersville, NC 27284 Phone: 336-277-6050 Fax: 336-992-3141
Paige Marie Campbell, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 520a Arbor Hill Rd, Kernersville, NC 27284 Phone: 336-455-0483
Q'neishia Danielle Lee, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 5836 Kenville Green Cir, Kernersville, NC 27284 Phone: 919-922-0713
Amber Moore, LCAS, SAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 Phone: 336-558-0219
Shelby Gabello, MS, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520a Arbor Hill Rd, Kernersville, NC 27284 Phone: 336-283-3830
Hannah Gilreath Koehler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 N Main St, Kernersville, NC 27284 Phone: 336-283-3830
Amelia Britt, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 N Main St Ste 210, Kernersville, NC 27284 Phone: 336-283-3830

Nicole Ayssa Lollis, LCMHC - Medicare Counselor in Kernersville, NC