Nicole Capille Colvin, OTR/L in Tulsa, OK - Medicare Occupational Therapist Provider

Nicole Capille Colvin, OTR/L is a medicare enrolled "Occupational Therapist" provider in Tulsa, Oklahoma. Her current practice location is 1120 S Utica Ave, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 579-1000.

Nicole Capille Colvin is licensed to practice in Oklahoma (license number 5285) 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 1841963220.

Contact Information

	Nicole Capille Colvin, OTR/L
	1120 S Utica Ave, Tulsa, OK 74104-4090
	(918) 579-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Capille Colvin
Gender	Female
Speciality	Occupational Therapist
Location	1120 S Utica Ave, Tulsa, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841963220
Provider Enumeration Date: 07/30/2021
Last Update Date: 03/22/2023

Medicare PECOS Information:

PECOS PAC ID: 1254735103
Enrollment ID: I20210813002699

Medical Identifiers

Medical identifiers for Nicole Capille Colvin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841963220	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT19405 (Florida)	Secondary
225XP0019X	Occupational Therapist - Physical Rehabilitation	5285 (Oklahoma)	Secondary
225X00000X	Occupational Therapist	5285 (Oklahoma)	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. Nicole Capille Colvin allows following entities to bill medicare on her behalf.

Provider Name	Lightning Mobility Evaluations, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1740756436 PECOS PAC ID: 7214275221 Enrollment ID: O20191023000028

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1598332173 PECOS PAC ID: 2163339722 Enrollment ID: O20211026000517

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 Capille Colvin 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 Capille Colvin, OTR/L 2250 N Denver Pl, Tulsa, OK 74106-3629 Ph: (352) 875-8845	Nicole Capille Colvin, OTR/L 1120 S Utica Ave, Tulsa, OK 74104-4090 Ph: (918) 579-1000

Reviews and Comments

Occupational Therapist in Tulsa, OK

Ms. Talitha Gloria Glosemeyer, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6127 S Joplin Ave, Tulsa, OK 74136 Phone: 405-503-6825
Amy M Buck, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12697 E 51st St, Tulsa, OK 74146 Phone: 918-505-3200
Kylah Clovis, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5110 S Yale Ave Ste 102, Tulsa, OK 74135 Phone: 918-492-2386 Fax: 918-645-8686
Piper Rinehart, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7608 E 91st St, Tulsa, OK 74133 Phone: 918-663-0606 Fax: 918-663-8754
Mrs. Summer Trook, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1724 S Harvard Ave, Tulsa, OK 74112 Phone: 918-250-7093 Fax: 918-250-9976
Mrs. Rose Marie Martino, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1145 S Utica Ave, Suite 262, Tulsa, OK 74104 Phone: 918-579-3035 Fax: 918-579-3299
Kristina Sowards, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4129 S Trenton Ave, Tulsa, OK 74105 Phone: 918-361-9722

Nicole Capille Colvin, OTR/L - Medicare Occupational Therapist in Tulsa, OK