Nicole Baltimore, in Garner, NC - Medicare Counselor Provider

Nicole Baltimore, is a medicare enrolled "Counselor - Mental Health" provider in Garner, North Carolina. Her current practice location is 503 U.s. 70, Garner, North Carolina. You can reach out to her office (for appointments etc.) via phone at (984) 800-1020.

Nicole Baltimore is licensed to practice in North Carolina (license number 18279) 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 1578279253.

Contact Information

	Nicole Baltimore,
	503 U.s. 70, Garner, NC 27529-2752
	(984) 800-1020
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Baltimore
Gender	Female
Speciality	Counselor - Mental Health
Location	503 U.s. 70, Garner, 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: 1578279253
Provider Enumeration Date: 01/26/2023
Last Update Date: 04/23/2025

Medicare PECOS Information:

PECOS PAC ID: 5890217798
Enrollment ID: I20250320001439

Medical Identifiers

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

Identifier	Type	State	Issuer
1578279253	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	18279 (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 Baltimore allows following entities to bill medicare on her behalf.

Entity Name	Pride In North Carolina Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760420186 PECOS PAC ID: 9638105869 Enrollment ID: O20050711000558

Entity Name	Second Chance Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205341112 PECOS PAC ID: 2961836408 Enrollment ID: O20191217000301

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 Baltimore 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 Baltimore, 2909 Red Clay Dr Apt 710, Raleigh, NC 27604-3573 Ph: (919) 534-6153	Nicole Baltimore, 503 U.s. 70, Garner, NC 27529-2752 Ph: (984) 800-1020

Reviews and Comments

Counselor in Garner, NC

Andrea J Bell, MA, LCAS-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Turner St., Garner, NC 27529 Phone: 864-430-5007 Fax: 919-662-1809
Jeanice Young, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1027 Us Highway 70 W, 201, Garner, NC 27529 Phone: 919-773-8002
Chandler Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 826 Timber Dr, Garner, NC 27529 Phone: 984-242-0291
Angel Archer, LCSWA, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1952 Spring Dr, Garner, NC 27529 Phone: 919-787-6131 Fax: 919-571-2932
Mrs. Joy W Casey, LPA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 K Technology Dr, Garner, NC 27529 Phone: 919-779-6612 Fax: 919-779-7854
Tonya Upchurch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1418 Aversboro Rd Ste 201, Garner, NC 27529 Phone: 919-329-9400
Alexandria Durr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 826 Timber Dr, Garner, NC 27529 Phone: 919-585-2282

Nicole Baltimore, - Medicare Counselor in Garner, NC