Nicole Kertz, is a
Occupational Therapist based in Bloomsdale, Missouri. Nicole Kertz is licensed to practice in * (Not Available) (license number ) and her current practice location is
173 Drury Ct, Bloomsdale, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 880-3885.
NPI number for Nicole Kertz is 1013581255 and her current mailing address is 173 Drury Ct, Bloomsdale, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013581255.
Healthcare Provider's Profile
| Full Name | Nicole Kertz |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 173 Drury Ct, Bloomsdale, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1013581255
- Provider Enumeration Date: 05/13/2021
- Last Update Date: 05/13/2021
Medical Identifiers
Medical identifiers for Nicole Kertz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013581255 | NPI | - | NPPES |
| 07171997 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
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 Kertz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicole Kertz,
173 Drury Ct,
Bloomsdale, MO 63627-8100
Ph: (573) 880-3885 | Nicole Kertz,
173 Drury Ct,
Bloomsdale, MO 63627-8100
Ph: (573) 880-3885 |
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