Nicole Wallis, in Greenwood, IN - Medicare Occupational Therapy Provider

Nicole Wallis, is a medicare enrolled "Occupational Therapist" provider in Greenwood, Indiana. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Chn Jmh Ventures Llc and her current practice location is 3000 N State Rd 135, Greenwood, Indiana. You can reach out to her office (for appointments etc.) via phone at (800) 777-7775.

Nicole Wallis is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629739206.

Contact Information

	Nicole Wallis,
	3000 N State Rd 135, Greenwood, IN 46143
	(800) 777-7775
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Wallis
Gender	Female
Speciality	Occupational Therapy
Experience	4 Years
Location	3000 N State Rd 135, Greenwood, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Wallis graduated from medical school in 2020

NPI Data:

NPI Number: 1629739206
Provider Enumeration Date: 01/05/2022
Last Update Date: 01/05/2022

Medicare PECOS Information:

PECOS PAC ID: 4183019854
Enrollment ID: I20220315002254

Medical Identifiers

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

Identifier	Type	State	Issuer
1629739206	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XN1300X	Occupational Therapist - Neurorehabilitation	(* (Not Available))	Secondary
225X00000X	Occupational Therapist	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Chn Jmh Ventures Llc	3870728512	15

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 Wallis allows following entities to bill medicare on her behalf.

Provider Name	Chn Jmh Ventures Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902242084 PECOS PAC ID: 3870728512 Enrollment ID: O20131105000322

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 Wallis 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 Wallis, 910 N Dequincy St, Indianapolis, IN 46201-2844 Ph: () -	Nicole Wallis, 3000 N State Rd 135, Greenwood, IN 46143 Ph: (800) 777-7775

Reviews and Comments

Occupational Therapist in Greenwood, IN

Mrs. Keisha N Creager, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 377 Westridge Blvd, Greenwood, IN 46142 Phone: 317-888-4948 Fax: 317-885-1940
Laura Mackenzie Aust, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 Library Blvd Ste A, Greenwood, IN 46142 Phone: 317-881-9923
Mrs. Molly Holt, MSOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2339 South Sr 135, Greenwood, IN 46143 Phone: 317-215-7228
Myranda Phillips, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1703 W Stones Crossing Rd Ste 120, Greenwood, IN 46143 Phone: 317-528-2018 Fax: 317-528-2907
Dominic Joseph Toscano, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3177 Meridian Parke Dr, Greenwood, IN 46142 Phone: 317-882-5455
Miss Megan Painter, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 Library Blvd, Suite A, Greenwood, IN 46142 Phone: 317-881-9923
Brianna Radici, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 Library Blvd, Suite A, Greenwood, IN 46142 Phone: 317-215-0239

Nicole Wallis, - Medicare Occupational Therapist in Greenwood, IN