Nicole Simone Underwood, in Federal Way, WA - Medicare Occupational Therapist Provider

Nicole Simone Underwood, is a medicare enrolled "Occupational Therapist" provider in Federal Way, Washington. Her current practice location is 1010 S 336th St, Suite 210, Federal Way, Washington. You can reach out to her office (for appointments etc.) via phone at (866) 835-8091.

Nicole Simone Underwood is licensed to practice in Washington (license number OT60286485) 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 1922353606.

Contact Information

	Nicole Simone Underwood,
	1010 S 336th St, Suite 210, Federal Way, WA 98003-6385
	(866) 835-8091
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Simone Underwood
Gender	Female
Speciality	Occupational Therapist
Location	1010 S 336th St, Federal Way, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922353606
Provider Enumeration Date: 07/18/2012
Last Update Date: 07/18/2012

Medicare PECOS Information:

PECOS PAC ID: 7618336884
Enrollment ID: I20230706001210

Medical Identifiers

Medical identifiers for Nicole Simone Underwood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922353606	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT60286485 (Washington)	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 Simone Underwood allows following entities to bill medicare on her behalf.

Provider Name	Aegis Group Practice Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427774959 PECOS PAC ID: 5193036432 Enrollment ID: O20230605003083

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 Simone Underwood 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 Simone Underwood, 1010 S 336th St, Suite 210, Federal Way, WA 98003-6385 Ph: (866) 835-8091	Nicole Simone Underwood, 1010 S 336th St, Suite 210, Federal Way, WA 98003-6385 Ph: (866) 835-8091

Reviews and Comments

Occupational Therapist in Federal Way, WA

Cheryl Ramadan-jradi, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 South 336th Street, Suite 210, Federal Way, WA 98003 Phone: 866-835-8091
Katie Gustavson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 S 336th St Ste 210, Federal Way, WA 98003 Phone: 866-835-8091
Nicole Martin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 S 336th St, Federal Way, WA 98003 Phone: 253-835-5769
Maryanne Church Trettenero, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 S 336th St, 210, Federal Way, WA 98003 Phone: 866-835-8091 Fax: 888-835-7102
Carrie Kathryn Harstad, MSOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29880 9th Ave Sw, Federal Way, WA 98023 Phone: 253-318-2298
Jennifer Nguyen, MOT, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1010 S 336th St Ste 112, Federal Way, WA 98003 Phone: 253-904-0208
Denise Nickell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 S 336th St Ste 210, Federal Way, WA 98003 Phone: 866-835-8091

Nicole Simone Underwood, - Medicare Occupational Therapist in Federal Way, WA