Nicole Williams, in Ithaca, NY - Medicare Counselor Provider

Nicole Williams, is a medicare enrolled "Counselor - Mental Health" provider in Ithaca, New York. Her current practice location is 201 E Green St, Ithaca, New York. You can reach out to her office (for appointments etc.) via phone at (607) 274-6208.

Nicole Williams is licensed to practice in New York (license number 100053-01) 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 1831729359.

Contact Information

	Nicole Williams,
	201 E Green St, Ithaca, NY 14850-5635
	(607) 274-6208
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Williams
Gender	Female
Speciality	Counselor - Mental Health
Location	201 E Green St, Ithaca, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831729359
Provider Enumeration Date: 01/23/2020
Last Update Date: 05/06/2025

Medicare PECOS Information:

PECOS PAC ID: 1456861301
Enrollment ID: I20250610001253

Medical Identifiers

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

Identifier	Type	State	Issuer
1831729359	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	100053-01 (New York)	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 Williams allows following entities to bill medicare on her behalf.

Entity Name	Tompkins County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588686596 PECOS PAC ID: 0143210443 Enrollment ID: O20040518000222

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 Williams 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 Williams, 201 E Green St, Ithaca, NY 14850-5635 Ph: (607) 274-6200	Nicole Williams, 201 E Green St, Ithaca, NY 14850-5635 Ph: (607) 274-6208

Reviews and Comments

Counselor in Ithaca, NY

Peter Dodge, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 334 W State St, Ithaca, NY 14850 Phone: 607-273-5500 Fax: 607-273-1277
Andrea Arden Gerding, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 201 E Green St Fl 5, Ithaca, NY 14850 Phone: 607-274-6288 Fax: 607-274-6280
Dr. Dannemart Pierre, PHD, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1022 Danby Rd, Ithaca, NY 14850 Phone: 561-320-1179
Mrs. Amy Abbasov, M.ED. LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 Besemer Ln, Ithaca, NY 14850 Phone: 806-236-4156
Mr. Allen John Agnew, CASAC NYS 13121 Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Green St, Suite 500, Ithaca, NY 14850 Phone: 607-274-6288 Fax: 607-274-6280
Vanessa Hendrickson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Green St Ste 500, Ithaca, NY 14850 Phone: 607-274-6288 Fax: 607-274-6280
Mr. Colin Andrew Polnitsky, MSW INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Green St, Ithaca, NY 14850 Phone: 607-274-6288 Fax: 607-274-6280

Nicole Williams, - Medicare Counselor in Ithaca, NY