Nicole Rene Green, OTD, OTR/L is a
Occupational Therapist based in Hot Springs, South Dakota. Nicole Rene Green is licensed to practice in South Dakota (license number 1158) and her current practice location is
500 N 5th St, Hot Springs, South Dakota. She can be reached at her office (for appointments etc.) via phone at
(605) 745-2000.
NPI number for Nicole Rene Green is 1043736101 and her current mailing address is 500 N 5th St, Hot Springs, South Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043736101.
Healthcare Provider's Profile
| Full Name | Nicole Rene Green |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 500 N 5th St, Hot Springs, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1043736101
- Provider Enumeration Date: 08/20/2017
- Last Update Date: 04/27/2020
Medical Identifiers
Medical identifiers for Nicole Rene Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043736101 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 2374 (Nebraska) | Secondary |
| 225X00000X | Occupational Therapist | OT.0005127 (Colorado) | Secondary |
| 225X00000X | Occupational Therapist | 1158 (South Dakota) | 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 Rene Green 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 Rene Green, OTD, OTR/L
500 N 5th St,
Hot Springs, SD 57747-1480
Ph: (605) 745-2000 | Nicole Rene Green, OTD, OTR/L
500 N 5th St,
Hot Springs, SD 57747-1480
Ph: (605) 745-2000 |
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