Mrs Elizabeth Nickerson, OTR in Grand Blanc, MI - Medicare Occupational Therapist Provider

Mrs Elizabeth Nickerson, OTR is a medicare enrolled "Occupational Therapist" provider in Grand Blanc, Michigan. Her current practice location is 8245 Holly Rd, Suite 204, Grand Blanc, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 603-0040.

Mrs Elizabeth Nickerson is licensed to practice in Michigan (license number 5201007533) 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 1730320664.

Contact Information

	Mrs Elizabeth Nickerson, OTR
	8245 Holly Rd, Suite 204, Grand Blanc, MI 48439-2443
	(810) 603-0040
	(810) 603-0044

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Elizabeth Nickerson
Gender	Female
Speciality	Occupational Therapist
Location	8245 Holly Rd, Grand Blanc, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730320664
Provider Enumeration Date: 03/24/2009
Last Update Date: 09/19/2011

Medicare PECOS Information:

PECOS PAC ID: 8426220823
Enrollment ID: I20111006000785

Medical Identifiers

Medical identifiers for Mrs Elizabeth Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730320664	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5201007533 (Michigan)	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. Mrs Elizabeth Nickerson allows following entities to bill medicare on her behalf.

Provider Name	Champ Therapy And Wellness Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1447911136 PECOS PAC ID: 0840682860 Enrollment ID: O20220124002050

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. Mrs Elizabeth 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
Mrs Elizabeth Nickerson, OTR 8245 Holly Rd, Suite 204, Grand Blanc, MI 48439-2443 Ph: (810) 603-0040	Mrs Elizabeth Nickerson, OTR 8245 Holly Rd, Suite 204, Grand Blanc, MI 48439-2443 Ph: (810) 603-0040

Reviews and Comments

Occupational Therapist in Grand Blanc, MI

Renae Deshaw, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10809 S Saginaw St, Grand Blanc, MI 48439 Phone: 810-695-8700 Fax: 810-695-7946
Mrs. Joelle Ann Cirella-grandy, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1330 Grand Pointe Ct, Grand Blanc, MI 48439 Phone: 810-344-3518 Fax: 810-695-8922
Dpt Holdings Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 861 Health Park Blvd, Grand Blanc, MI 48439 Phone: 800-974-4378 Fax: 630-515-1536
Allison Jenna Gallo, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8200 S Saginaw St Ste 200, Grand Blanc, MI 48439 Phone: 810-603-7008 Fax: 810-603-7010
Rosa Lorimer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2371 Bradford Dr, Grand Blanc, MI 48507 Phone: 616-405-6225
Jessica Frederick, MS, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8481 Holly Rd, Grand Blanc, MI 48439 Phone: 810-694-1711
Mrs. Lori Dyhrberg Bowie, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11941 Belsay Rd, Grand Blanc, MI 48439 Phone: 810-694-1970

Mrs Elizabeth Nickerson, OTR - Medicare Occupational Therapist in Grand Blanc, MI