Nicole Samaroo, MS, OTR/L is a medicare enrolled "Occupational Therapist" provider in Decatur, Michigan. Her current practice location is
40851 County Road 669, Decatur, Michigan. You can reach out to her office (for appointments etc.) via phone at
(917) 312-6973.
Nicole Samaroo is licensed to practice in Florida (license number 21862) 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 1770150864.
Healthcare Provider's Profile
Full Name | Nicole Samaroo |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 40851 County Road 669, Decatur, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770150864
- Provider Enumeration Date: 06/07/2021
- Last Update Date: 06/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 6204379662
- Enrollment ID: I20240613004237
Medical Identifiers
Medical identifiers for Nicole Samaroo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770150864 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 21862 (Florida) | 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 Samaroo allows following entities to bill medicare on her behalf.
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1336535988 PECOS PAC ID: 2163339722 Enrollment ID: O20150805009289 |
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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 Samaroo 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 Samaroo, MS, OTR/L 40851 County Road 669, Decatur, MI 49045-8911 Ph: (917) 312-6973 | Nicole Samaroo, MS, OTR/L 40851 County Road 669, Decatur, MI 49045-8911 Ph: (917) 312-6973 |
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