Nicole Renee Mallicoat-cashman, DPT is a medicare enrolled "Physical Therapist" physician in Liverpool, New York. Her current practice location is
7455 Morgan Rd, Liverpool, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 469-5400.
Nicole Renee Mallicoat-cashman is licensed to practice in New York (license number 050736) 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 1528841293.
Physician's Profile
Full Name | Nicole Renee Mallicoat-cashman |
---|
Gender | Female |
---|
Speciality | Physical Therapist |
---|
Location | 7455 Morgan Rd, Liverpool, 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: 1528841293
- Provider Enumeration Date: 08/16/2023
- Last Update Date: 10/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062876972
- Enrollment ID: I20230912000107
Medical Identifiers
Medical identifiers for Nicole Renee Mallicoat-cashman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528841293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 050736 (New York) | Secondary |
225100000X | Physical Therapist | 050736 (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 Renee Mallicoat-cashman allows following entities to bill medicare on her behalf.
Entity Name | Sports Physical Therapy Of New York, P.c. |
---|
Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
---|
Entity Identifiers | NPI Number: 1912950072 PECOS PAC ID: 4284531674 Enrollment ID: O20150203001143 |
---|
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 Renee Mallicoat-cashman 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 Renee Mallicoat-cashman, DPT 3869 Condor Cir, Liverpool, NY 13090-1008 Ph: (303) 350-7838 | Nicole Renee Mallicoat-cashman, DPT 7455 Morgan Rd, Liverpool, NY 13090-3956 Ph: (315) 469-5400 |
Reviews and Comments