Nichole Bernhard, OTR in Park City, UT - Medicare Occupational Therapist Provider

Nichole Bernhard, OTR is a medicare enrolled "Occupational Therapist - Neurorehabilitation" provider in Park City, Utah. Her current practice location is 900 Round Valley Dr, Park City, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 658-7359.

Nichole Bernhard is licensed to practice in Utah (license number 321294-4201) 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 1356462394.

Contact Information

	Nichole Bernhard, OTR
	900 Round Valley Dr, Park City, UT 84060-7552
	(435) 658-7359
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nichole Bernhard
Gender	Female
Speciality	Occupational Therapist - Neurorehabilitation
Location	900 Round Valley Dr, Park City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356462394
Provider Enumeration Date: 04/03/2007
Last Update Date: 09/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9638399884
Enrollment ID: I20141009002639

Medical Identifiers

Medical identifiers for Nichole Bernhard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356462394	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XN1300X	Occupational Therapist - Neurorehabilitation	321294-4201 (Utah)	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. Nichole Bernhard allows following entities to bill medicare on her behalf.

Provider Name	Ihc Health Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1033822085 PECOS PAC ID: 1850209420 Enrollment ID: O20230627000064

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. Nichole Bernhard 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
Nichole Bernhard, OTR Po Box 511258, Los Angeles, CA 90051-7813 Ph: (801) 584-6303	Nichole Bernhard, OTR 900 Round Valley Dr, Park City, UT 84060-7552 Ph: (435) 658-7359

Reviews and Comments

Occupational Therapist in Park City, UT

Mrs. Stephanie Marie Rudisill, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, Suite 200, Park City, UT 84098 Phone: 214-575-9820 Fax: 214-575-9846
Megan B Williams, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2015 Sidewinder Dr, Park City, UT 84060 Phone: 435-645-9095 Fax: 435-645-9092
Stephanie Anne Polukoff, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4910 Bear View Dr, Park City, UT 84098 Phone: 435-640-9001
Bounce Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6318 View Dr, Park City, UT 84098 Phone: 435-655-1210
Lacey Ann Zimmermann, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4554 Forestdale Dr Unit E26, Park City, UT 84098 Phone: 435-400-4064
Darrell Larry, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, Suite 200, Park City, UT 84098 Phone: 312-301-0411

Nichole Bernhard, OTR - Medicare Occupational Therapist in Park City, UT