Nicole Olson, LCSW, CSAC is a medicare enrolled "Social Worker - Clinical" provider in Port Washington, Wisconsin. She graduated from healthcare school in 2016 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice County Of Ozaukee and her current practice location is
121 W Main St, Port Washington, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 284-8142.
Nicole Olson is licensed to practice in Wisconsin (license number 9135-123) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780032607.
Healthcare Provider's Profile
| Full Name | Nicole Olson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 9 Years |
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| Location | 121 W Main St, Port Washington, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole Olson graduated from medical school in 2016
NPI Data:
- NPI Number: 1780032607
- Provider Enumeration Date: 06/01/2016
- Last Update Date: 10/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587906417
- Enrollment ID: I20190425000537
Medical Identifiers
Medical identifiers for Nicole Olson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780032607 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16319-132 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 9135-123 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| County Of Ozaukee | 5698737450 | 5 |
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 Olson allows following entities to bill medicare on her behalf.
| Entity Name | County Of Ozaukee |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609867001
PECOS PAC ID: 5698737450
Enrollment ID: O20041103000458 |
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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 Olson 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 Olson, LCSW, CSAC
121 W Main St,
Port Washington, WI 53074-1813
Ph: (262) 284-8142 | Nicole Olson, LCSW, CSAC
121 W Main St,
Port Washington, WI 53074-1813
Ph: (262) 284-8142 |
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