Andrea Nicholls, MOT in Glendale, AZ - Medicare Occupational Therapist Provider

Andrea Nicholls, MOT is a medicare enrolled "Occupational Therapist" provider in Glendale, Arizona. Her current practice location is 5281 N 99th Ave Ste 200, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 889-0411.

Andrea Nicholls is licensed to practice in * (Not Available) (license number ) 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 1629715719.

Contact Information

	Andrea Nicholls, MOT
	5281 N 99th Ave Ste 200, Glendale, AZ 85305-3199
	(623) 889-0411
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Andrea Nicholls
Gender	Female
Speciality	Occupational Therapist
Location	5281 N 99th Ave Ste 200, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629715719
Provider Enumeration Date: 05/19/2022
Last Update Date: 06/09/2022

Medicare PECOS Information:

PECOS PAC ID: 3971983487
Enrollment ID: I20220630000427

Medical Identifiers

Medical identifiers for Andrea Nicholls such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629715719	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	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. Andrea Nicholls allows following entities to bill medicare on her behalf.

Provider Name	Spooner Physical Therapy & Hand Rehab, Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1184730095 PECOS PAC ID: 3476440447 Enrollment ID: O20040303000811

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. Andrea Nicholls 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
Andrea Nicholls, MOT 14287 N 87th St Ste 220, Scottsdale, AZ 85260-3698 Ph: (480) 937-1000	Andrea Nicholls, MOT 5281 N 99th Ave Ste 200, Glendale, AZ 85305-3199 Ph: (623) 889-0411

Reviews and Comments

Occupational Therapist in Glendale, AZ

Ms. Veda Marie Collmer, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5146 W Whispering Wind Dr, Glendale, AZ 85310 Phone: 508-951-0264
Grace Federico, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4535 W Cholla St, Glendale, AZ 85304 Phone: 602-896-5100
Fernando Oregel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7991 W Montebello Ave, Glendale, AZ 85303 Phone: 623-349-2060
Mr. Ty J. Pehrson, M.O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5281 N 99th Ave Ste 200, Glendale, AZ 85305 Phone: 623-889-0411 Fax: 623-889-0410
Alexis Wilkie, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4545 W Beardsley Rd, Apt 2004, Glendale, AZ 85308 Phone: 623-815-4156
Mrs. Allison Duckett Miller, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6701 W Union Hills Dr, Suite 2, Glendale, AZ 85308 Phone: 602-439-7400
Ms. Cynthia L Fleming, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7071 W Hillcrest Blvd, Glendale, AZ 85310 Phone: 623-376-3900 Fax: 623-376-3980

Andrea Nicholls, MOT - Medicare Occupational Therapist in Glendale, AZ