Nicole Marie Johnson, OTR/L in San Diego, CA - Medicare Occupational Therapist Provider

Nicole Marie Johnson, OTR/L is a medicare enrolled "Occupational Therapist - Physical Rehabilitation" provider in San Diego, California. Her current practice location is 7676 Hazard Center Dr Ste 500, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (800) 585-1299.

Nicole Marie Johnson is licensed to practice in California (license number 23462) 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 1669164992.

Contact Information

	Nicole Marie Johnson, OTR/L
	7676 Hazard Center Dr Ste 500, San Diego, CA 92108-4508
	(800) 585-1299
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Marie Johnson
Gender	Female
Speciality	Occupational Therapist - Physical Rehabilitation
Location	7676 Hazard Center Dr Ste 500, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669164992
Provider Enumeration Date: 05/24/2023
Last Update Date: 05/24/2023

Medicare PECOS Information:

PECOS PAC ID: 0143665687
Enrollment ID: I20240223003585

Medical Identifiers

Medical identifiers for Nicole Marie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669164992	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XP0019X	Occupational Therapist - Physical Rehabilitation	23462 (California)	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 Marie Johnson allows following entities to bill medicare on her behalf.

Provider Name	Paragon Outpatient Rehabilitation Services, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20221012004094

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 Marie Johnson 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 Marie Johnson, OTR/L 579 Riverside Park Rd, Carlotta, CA 95528-9644 Ph: () -	Nicole Marie Johnson, OTR/L 7676 Hazard Center Dr Ste 500, San Diego, CA 92108-4508 Ph: (800) 585-1299

Reviews and Comments

Occupational Therapist in San Diego, CA

Ms. Brooke Hallie Redman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8333 Clairemont Mesa Blvd, Suite 203, San Diego, CA 92111 Phone: 858-268-8585 Fax: 858-268-5729
Jaspreet Singh Basi, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10635 Calle Mar De Mariposa Apt 5304, San Diego, CA 92130 Phone: 559-917-2421
Minnett Sharon Condor Arriesgado, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Jamie E Wahl, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Market St Unit 210, San Diego, CA 92101 Phone: 303-710-2520
Ms. Margaret Ann Fuller, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7189
Ms. Joan Marie Danford, O.T.R., C.P.R.P. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4525 Mission Gorge Pl, San Diego, CA 92120 Phone: 619-228-8003 Fax: 619-228-8030
Neena Eileen Bakshi, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8775 Aero Dr, Suite 238, San Diego, CA 92123 Phone: 858-571-0030

Nicole Marie Johnson, OTR/L - Medicare Occupational Therapist in San Diego, CA