Nicole M Tucker, OTR is a medicare enrolled "Occupational Therapist" provider in Eaton, Colorado. Her current practice location is
320 Surrey Rdg, Eaton, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 215-4889.
Nicole M Tucker is licensed to practice in Colorado (license number 1052331) 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 1073700878.
Healthcare Provider's Profile
| Full Name | Nicole M Tucker |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 320 Surrey Rdg, Eaton, Colorado |
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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: 1073700878
- Provider Enumeration Date: 09/26/2007
- Last Update Date: 04/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 3678815123
- Enrollment ID: I20190502000649
Medical Identifiers
Medical identifiers for Nicole M Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073700878 | NPI | - | NPPES |
| 1052331 | Other | CO | NATIONAL BOARD CERTIFICAT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 1052331 (Colorado) | 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 M Tucker allows following entities to bill medicare on her behalf.
| Provider Name | Covell Care And Rehabilitation Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1063695351
PECOS PAC ID: 9335223429
Enrollment ID: O20080228000078 |
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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. Nicole M Tucker 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 M Tucker, OTR
320 Surrey Rdg,
Eaton, CO 80615-8817
Ph: (970) 215-4889 | Nicole M Tucker, OTR
320 Surrey Rdg,
Eaton, CO 80615-8817
Ph: (970) 215-4889 |
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