Carol Jean Nicholson, OTRL, CHT in Seattle, WA - Medicare Occupational Therapy Provider

Carol Jean Nicholson, OTRL, CHT is a medicare enrolled "Occupational Therapist" provider in Seattle, Washington. She graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Sea-mar Community Health Center and her current practice location is 9650 15th Ave Sw, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 965-1000.

Carol Jean Nicholson is licensed to practice in Washington (license number OT00000928) 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 1235251745.

Contact Information

	Carol Jean Nicholson, OTRL, CHT
	9650 15th Ave Sw, Seattle, WA 98106-2576
	(206) 965-1000
	(206) 965-1031

Map and Direction

Healthcare Provider's Profile

Full Name	Carol Jean Nicholson
Gender	Female
Speciality	Occupational Therapy
Experience	40 Years
Location	9650 15th Ave Sw, Seattle, Washington
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:

Carol Jean Nicholson graduated from medical school in 1984

NPI Data:

NPI Number: 1235251745
Provider Enumeration Date: 04/04/2007
Last Update Date: 12/20/2023

Medicare PECOS Information:

PECOS PAC ID: 2567680341
Enrollment ID: I20140820002796

Medical Identifiers

Medical identifiers for Carol Jean Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235251745	NPI	-	NPPES
137579	Other	WA	L & I PROVIDER NUMBER
2103126	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT00000928 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sea-mar Community Health Center	7315831161	173

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. Carol Jean Nicholson allows following entities to bill medicare on her behalf.

Provider Name	Proliance Surgeons Inc Ps
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128

Provider Name	The Polyclinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788

Provider Name	Sea-mar Community Health Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1811051170 PECOS PAC ID: 7315831161 Enrollment ID: O20040211001210

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. Carol Jean 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
Carol Jean Nicholson, OTRL, CHT Po Box 34703, Seattle, WA 98124-1703 Ph: () -	Carol Jean Nicholson, OTRL, CHT 9650 15th Ave Sw, Seattle, WA 98106-2576 Ph: (206) 965-1000

Reviews and Comments

Occupational Therapist in Seattle, WA

Jaclyn Ann Subkoviak, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-341-0461 Fax: 206-515-5886
Tamira Bass, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Seneca St, Seattle, WA 98104 Phone: 206-540-3705
Ms. Mary Patricia Dodge, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1959 Ne Pacific St, Mailbox 356490, Seattle, WA 98195 Phone: 206-598-4830
Demetrios Terezakis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-744-6112
Lisbeth Brucknr Lord, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3010 Ne 113th St, Seattle, WA 98125 Phone: 206-498-2532
Elizabeth A. Reite, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4010 Stone Way N, 300, Seattle, WA 98103 Phone: 206-949-9692
Mr. David Emery Hall, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1660 S Columbian Way, Seattle, WA 98108 Phone: 206-277-1593 Fax: 206-768-5271

Carol Jean Nicholson, OTRL, CHT - Medicare Occupational Therapist in Seattle, WA