Ms Nicole Rose Huelsman, OTR/L is a medicare enrolled "Occupational Therapist" provider in Howard Lake, Minnesota. Her current practice location is
413 13th Ave, Howard Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 543-3800.
Ms Nicole Rose Huelsman is licensed to practice in * (Not Available) (license number 105273) 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 1780196899.
Healthcare Provider's Profile
| Full Name | Ms Nicole Rose Huelsman |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 413 13th Ave, Howard Lake, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1780196899
- Provider Enumeration Date: 10/30/2017
- Last Update Date: 06/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 6507202777
- Enrollment ID: I20240311000571
Medical Identifiers
Medical identifiers for Ms Nicole Rose Huelsman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780196899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 105273 (* (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. Ms Nicole Rose Huelsman allows following entities to bill medicare on her behalf.
| Provider Name | Roots And Wings Therapeutic Services Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1902564420
PECOS PAC ID: 4284027806
Enrollment ID: O20220203000682 |
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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. Ms Nicole Rose Huelsman 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 |
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Ms Nicole Rose Huelsman, OTR/L
413 13th Ave,
Howard Lake, MN 55349-9409
Ph: () - | Ms Nicole Rose Huelsman, OTR/L
413 13th Ave,
Howard Lake, MN 55349-9409
Ph: (320) 543-3800 |
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