Nikisha Blue Waters Zanon, MSW is a medicare enrolled "Social Worker - Clinical" provider in Iron Mountain, Michigan. She graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Bellin Psychiatric Center Inc and her current practice location is
440 Woodward Ave, Iron Mountain, Michigan. You can reach out to her office (for appointments etc.) via phone at
(906) 776-9040.
Nikisha Blue Waters Zanon is licensed to practice in Michigan (license number 6801106247) 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 1710517883.
Healthcare Provider's Profile
| Full Name | Nikisha Blue Waters Zanon |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 7 Years |
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| Location | 440 Woodward Ave, Iron Mountain, Michigan |
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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:
- Nikisha Blue Waters Zanon graduated from medical school in 2019
NPI Data:
- NPI Number: 1710517883
- Provider Enumeration Date: 01/17/2020
- Last Update Date: 08/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 8325486939
- Enrollment ID: I20240402001871
Medical Identifiers
Medical identifiers for Nikisha Blue Waters Zanon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710517883 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 6801117454 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801106247 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bellin Psychiatric Center Inc | 4486551058 | 78 |
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. Nikisha Blue Waters Zanon allows following entities to bill medicare on her behalf.
| Entity Name | Bellin Memorial Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376649509
PECOS PAC ID: 8820900749
Enrollment ID: O20061218000510 |
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| Entity Name | Bellin Psychiatric Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801150206
PECOS PAC ID: 4486551058
Enrollment ID: O20121222000022 |
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| Entity Name | Oconto Hospital & Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356799969
PECOS PAC ID: 2163461781
Enrollment ID: O20161123001560 |
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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. Nikisha Blue Waters Zanon 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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Nikisha Blue Waters Zanon, MSW
Po Box 22040,
Green Bay, WI 54305-2040
Ph: (920) 445-7222 | Nikisha Blue Waters Zanon, MSW
440 Woodward Ave,
Iron Mountain, MI 49801-4631
Ph: (906) 776-9040 |
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