Carolyn Marie Nichols, PT, DPT in San Antonio, TX - Medicare Physical Therapy Provider

Carolyn Marie Nichols, PT, DPT is a medicare enrolled "Physical Therapist" provider in San Antonio, Texas. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Orthopaedic San Antonio Pllc and her current practice location is 3922 Wiseman Blvd, Bldg V, Suite 502, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 775-6655.

Carolyn Marie Nichols is licensed to practice in Texas (license number 1384954) 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 1063179604.

Contact Information

	Carolyn Marie Nichols, PT, DPT
	3922 Wiseman Blvd, Bldg V, Suite 502, San Antonio, TX 78251
	(210) 775-6655
	(210) 761-7291

Map and Direction

Healthcare Provider's Profile

Full Name	Carolyn Marie Nichols
Gender	Female
Speciality	Physical Therapy
Experience	3 Years
Location	3922 Wiseman Blvd, San Antonio, Texas
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:

Carolyn Marie Nichols graduated from medical school in 2021

NPI Data:

NPI Number: 1063179604
Provider Enumeration Date: 11/18/2021
Last Update Date: 11/02/2023

Medicare PECOS Information:

PECOS PAC ID: 9830580281
Enrollment ID: I20231115003997

Medical Identifiers

Medical identifiers for Carolyn Marie Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063179604	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1384954 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthopaedic San Antonio Pllc	7012286438	21

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. Carolyn Marie Nichols allows following entities to bill medicare on her behalf.

Provider Name	Orthopaedic San Antonio Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750815809 PECOS PAC ID: 7012286438 Enrollment ID: O20170628001523

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. Carolyn Marie Nichols 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
Carolyn Marie Nichols, PT, DPT 3922 Wiseman Blvd, Bldg V, Suite 502, San Antonio, TX 78251 Ph: (210) 775-6655	Carolyn Marie Nichols, PT, DPT 3922 Wiseman Blvd, Bldg V, Suite 502, San Antonio, TX 78251 Ph: (210) 775-6655

Reviews and Comments

Physical Therapist in San Antonio, TX

Sarah F Simpson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27880 Riata Ranch Dr, San Antonio, TX 78261 Phone: 210-870-9430
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Jennifer Duggins, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20330 Huebner Rd, Ste 102, San Antonio, TX 78258 Phone: 210-725-3700
Neha Shah, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9150 Huebner Rd Ste 275, San Antonio, TX 78240 Phone: 210-561-7000
Jennifer G Classy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18323 Sonterra Pl, San Antonio, TX 78258 Phone: 210-495-4606 Fax: 210-495-4606
Fnu Praseetha Ullal Kolap, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5211 Fredericksburg Rd Apt 1319, San Antonio, TX 78229 Phone: 708-571-9504
Jesus Alcala, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 Phone: 210-610-4480

Carolyn Marie Nichols, PT, DPT - Medicare Physical Therapist in San Antonio, TX