Nicole Bashan Lewis, in Crown Point, IN - Medicare Counselor Provider

Nicole Bashan Lewis, is a medicare enrolled "Counselor - Mental Health" provider in Crown Point, Indiana. Her current practice location is 1325 W 98th Ave, Crown Point, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 789-9185.

Nicole Bashan Lewis is licensed to practice in Indiana (license number 88000389A) 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 1053847251.

Contact Information

	Nicole Bashan Lewis,
	1325 W 98th Ave, Crown Point, IN 46307
	(219) 789-9185
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Bashan Lewis
Gender	Female
Speciality	Counselor - Mental Health
Location	1325 W 98th Ave, Crown Point, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053847251
Provider Enumeration Date: 05/08/2017
Last Update Date: 12/20/2024

Medicare PECOS Information:

PECOS PAC ID: 0547661001
Enrollment ID: I20241022002615

Medical Identifiers

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

Identifier	Type	State	Issuer
1053847251	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	93611 (Texas)	Secondary
101YM0800X	Counselor - Mental Health	88000389A (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. Nicole Bashan Lewis allows following entities to bill medicare on her behalf.

Entity Name	Center For Life Enrichment Advancement And Recovery Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548856842 PECOS PAC ID: 5890195713 Enrollment ID: O20241022002254

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 Bashan Lewis 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 Bashan Lewis, 1325 W 98th Ave, Crown Point, IN 46307-2465 Ph: (219) 789-9185	Nicole Bashan Lewis, 1325 W 98th Ave, Crown Point, IN 46307 Ph: (219) 789-9185

Reviews and Comments

Counselor in Crown Point, IN

Suzanne Jean Bonaventura-krischke, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 Fax: 219-663-6155
Anastasia Hernandez, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-663-6353
Sabrina Marie Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-663-6353
Kristina Nicole Fairbanks, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-663-6353
Jeremy Wirtz, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-663-6353
Jilian M Hus, LMHC, CCMHC Counselor Medicare: Medicare Enrolled Practice Location: 11506 Kentucky St, Crown Point, IN 46307 Phone: 219-440-2239
Maegan Glass, MA, LMHCA, NCC Counselor Medicare: Medicare Enrolled Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-301-0206

Nicole Bashan Lewis, - Medicare Counselor in Crown Point, IN