Tammi R Nicholson, LMHCA is a medicare enrolled "Counselor - Mental Health" provider in Paoli, Indiana. She went to Liberty Univ College Of Osteopathic Medicine and graduated in 2014 and has 12 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Lifespring, Inc and her current practice location is
488 W Hospital Rd, Paoli, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 723-4305.
Tammi R Nicholson is licensed to practice in * (Not Available) (license number ) 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 1043819915.
Healthcare Provider's Profile
| Full Name | Tammi R Nicholson |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 12 Years |
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| Location | 488 W Hospital Rd, Paoli, Indiana |
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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:
- Tammi R Nicholson attended and graduated from Liberty Univ College Of Osteopathic Medicine in 2014
NPI Data:
- NPI Number: 1043819915
- Provider Enumeration Date: 10/22/2020
- Last Update Date: 10/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 9638527575
- Enrollment ID: I20231202000251
Medical Identifiers
Medical identifiers for Tammi R Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043819915 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Lifespring, Inc | 5294624508 | 70 |
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. Tammi R Nicholson allows following entities to bill medicare on her behalf.
| Entity Name | Lifespring Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851489942 PECOS PAC ID: 5294624508 Enrollment ID: O20040805000332 |
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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. Tammi R Nicholson 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 |
Tammi R Nicholson, LMHCA 1208 Old State Road 60 E, Salem, IN 47167-9703 Ph: () - | Tammi R Nicholson, LMHCA 488 W Hospital Rd, Paoli, IN 47454-8807 Ph: (812) 723-4305 |
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