Nicole Marie Firestone, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mound City, Kansas. Her current practice location is
223 Main St, Mound City, Kansas. You can reach out to her office (for appointments etc.) via phone at
(785) 304-1555.
Nicole Marie Firestone is licensed to practice in Kansas (license number 53-83945-071) 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 1962210005.
Provider's Profile
Full Name | Nicole Marie Firestone |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 223 Main St, Mound City, Kansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962210005
- Provider Enumeration Date: 12/20/2024
- Last Update Date: 02/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 2466974043
- Enrollment ID: I20250324002785
Medical Identifiers
Medical identifiers for Nicole Marie Firestone such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962210005 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 13-115764-071 (Kansas) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 53-83945-071 (Kansas) | 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 Marie Firestone allows following entities to bill medicare on her behalf.
Entity Name | Southeast Kansas Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467414771 PECOS PAC ID: 3870562879 Enrollment ID: O20040927001008 |
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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 Marie Firestone 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 Marie Firestone, APRN, PMHNP-BC 27057 Nw Mitchell Rd, Garnett, KS 66032-7245 Ph: (785) 304-1555 | Nicole Marie Firestone, APRN, PMHNP-BC 223 Main St, Mound City, KS 66056-5211 Ph: (785) 304-1555 |
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