Nicole Joan Richardson, OTR/L in Vincennes, IN - Medicare Occupational Therapy Provider

Nicole Joan Richardson, OTR/L is a medicare enrolled "Occupational Therapist" provider in Vincennes, Indiana. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Prorehab Inc and her current practice location is 2121 Willow St, Vincennes, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 882-1141.

Nicole Joan Richardson is licensed to practice in Indiana (license number 31007705A) 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 1568092203.

Contact Information

	Nicole Joan Richardson, OTR/L
	2121 Willow St, Vincennes, IN 47591-5355
	(812) 882-1141
	(812) 255-0045

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Joan Richardson
Gender	Female
Speciality	Occupational Therapy
Experience	5 Years
Location	2121 Willow St, Vincennes, Indiana
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:

Nicole Joan Richardson graduated from medical school in 2019

NPI Data:

NPI Number: 1568092203
Provider Enumeration Date: 01/22/2020
Last Update Date: 04/26/2022

Medicare PECOS Information:

PECOS PAC ID: 1153718804
Enrollment ID: I20220427000781

Medical Identifiers

Medical identifiers for Nicole Joan Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568092203	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	056.013428 (Illinois)	Secondary
225X00000X	Occupational Therapist	31007705A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prorehab Inc	1254317217	64

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. Nicole Joan Richardson allows following entities to bill medicare on her behalf.

Provider Name	Prorehab Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1770565509 PECOS PAC ID: 1254317217 Enrollment ID: O20061219000040

Provider Name	Tri-state Orthopaedic Surgeons Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073501003 PECOS PAC ID: 6800781949 Enrollment ID: O20080228000136

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. Nicole Joan Richardson 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
Nicole Joan Richardson, OTR/L Po Box 5629, Evansville, IN 47716-5629 Ph: (502) 882-9379	Nicole Joan Richardson, OTR/L 2121 Willow St, Vincennes, IN 47591-5355 Ph: (812) 882-1141

Reviews and Comments

Occupational Therapist in Vincennes, IN

Nathan Harrison, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 723 E Ramsey Rd, Vincennes, IN 47591 Phone: 812-882-8787
Mrs. Christine M Cavanaugh, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3801 Old Bruceville Rd, Vincennes, IN 47591 Phone: 812-886-4677 Fax: 812-866-4678
Kristina Lynn Hirsch, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3801 Old Bruceville Rd, Vincennes, IN 47591 Phone: 812-882-1783
Tiffany Renee Neukam, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 College Ave., Vincennes, IN 47591 Phone: 502-412-5847
Mrs. Laura Elizabeth Neumann, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1215 N Mulberry Ln, Vincennes, IN 47591 Phone: 617-501-8381
Mr. Jacob Palmer Adams, MSOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2860 E State Road 61, Vincennes, IN 47591 Phone: 812-887-1219
Mr. Dwight Eugene Bolejack, OCCUPATIONAL THERAPI Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3801 Old Bruceville Rd, Vincennes, IN 47591 Phone: 812-886-4677 Fax: 812-886-4678

Nicole Joan Richardson, OTR/L - Medicare Occupational Therapist in Vincennes, IN