Keelin Jane Nickerson, OTR/L in Durango, CO - Medicare Occupational Therapist Provider

Keelin Jane Nickerson, OTR/L is a medicare enrolled "Occupational Therapist" provider in Durango, Colorado. Her current practice location is 575 Rivergate Ln Unit 108, Durango, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 247-7711.

Keelin Jane Nickerson is licensed to practice in Colorado (license number OT.0007626) 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 1538883590.

Contact Information

	Keelin Jane Nickerson, OTR/L
	575 Rivergate Ln Unit 108, Durango, CO 81301-7490
	(970) 247-7711
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Keelin Jane Nickerson
Gender	Female
Speciality	Occupational Therapist
Location	575 Rivergate Ln Unit 108, Durango, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538883590
Provider Enumeration Date: 10/03/2022
Last Update Date: 10/03/2022

Medicare PECOS Information:

PECOS PAC ID: 6103293345
Enrollment ID: I20221101002307

Medical Identifiers

Medical identifiers for Keelin Jane Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538883590	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT.0007626 (Colorado)	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. Keelin Jane Nickerson allows following entities to bill medicare on her behalf.

Provider Name	San Juan Hand Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952471856 PECOS PAC ID: 8628050010 Enrollment ID: O20040601000734

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. Keelin Jane Nickerson 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
Keelin Jane Nickerson, OTR/L 575 Rivergate Ln Unit 108, Durango, CO 81301-7490 Ph: () -	Keelin Jane Nickerson, OTR/L 575 Rivergate Ln Unit 108, Durango, CO 81301-7490 Ph: (970) 247-7711

Reviews and Comments

Occupational Therapist in Durango, CO

Melissa Miller, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 E 12th St, Durango, CO 81301 Phone: 970-247-5411
Elizabeth Guilfoyle, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Camino Del Rio Ste 221, Durango, CO 81301 Phone: 970-247-3261
Elizabeth Blair Ruder, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Camino Del Rio Ste 221, Durango, CO 81301 Phone: 970-247-3261
Ivy Lau, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 28 Salt Brush St, Durango, CO 81301 Phone: 970-880-0090
Robyn Kellogg, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 Ryler Dr, Durango, CO 81301 Phone: 970-769-0397
Tonya Jividen Ebert, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 Sunshine Ct, Durango, CO 81301 Phone: 970-375-1580
Renee Olsen, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 575 Rivergate Ln Unit 108, Durango, CO 81301 Phone: 970-247-7711

Keelin Jane Nickerson, OTR/L - Medicare Occupational Therapist in Durango, CO