Nicole Siegel, LCSW, LCDC is a medicare enrolled "Social Worker - Clinical" provider in Southlake, Texas. She graduated from healthcare school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
2485 E Southlake Blvd Ste 180, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at
(682) 593-1272.
Nicole Siegel is licensed to practice in Texas (license number 57444) 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 1194134528.
Healthcare Provider's Profile
Full Name | Nicole Siegel |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 12 Years |
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Location | 2485 E Southlake Blvd Ste 180, Southlake, Texas |
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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. |
Medical Education and Training:
- Nicole Siegel graduated from medical school in 2012
NPI Data:
- NPI Number: 1194134528
- Provider Enumeration Date: 08/11/2014
- Last Update Date: 04/26/2017
Medicare PECOS Information:
- PECOS PAC ID: 5890061659
- Enrollment ID: I20171023001019
Medical Identifiers
Medical identifiers for Nicole Siegel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194134528 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 11330 (Texas) | Secondary |
1041C0700X | Social Worker - Clinical | 57444 (Texas) | 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 Siegel allows following entities to bill medicare on her behalf.
Entity Name | Full Circle Therapy Center Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578011458 PECOS PAC ID: 1557637303 Enrollment ID: O20171023000587 |
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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 Siegel 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 Siegel, LCSW, LCDC 4142 Petersburg Dr, Fort Worth, TX 76244-4373 Ph: (682) 593-1272 | Nicole Siegel, LCSW, LCDC 2485 E Southlake Blvd Ste 180, Southlake, TX 76092-6687 Ph: (682) 593-1272 |
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