Dr Nicole Evanosky, PT, DPT - Medicare Physical Therapist in Dallas, PA

Dr Nicole Evanosky, PT, DPT is a medicare enrolled "Physical Therapist" provider in Dallas, Pennsylvania. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Cip Rehabilitation Inc and her current practice location is 5 Jacquelyn Ln, Dallas, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 574-1930.

Dr Nicole Evanosky is licensed to practice in Pennsylvania (license number PT012689L) 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 1093489668.

Contact Information

Dr Nicole Evanosky, PT, DPT
5 Jacquelyn Ln,
Dallas, PA 18612-9107
(570) 574-1930
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Nicole Evanosky
GenderFemale
SpecialityPhysical Therapy
Experience14 Years
Location5 Jacquelyn Ln, Dallas, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nicole Evanosky graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1093489668
  • Provider Enumeration Date: 08/05/2021
  • Last Update Date: 08/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4486059722
  • Enrollment ID: I20210824002940

Medical Identifiers

Medical identifiers for Dr Nicole Evanosky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093489668NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT012689L (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cip Rehabilitation Inc478993210429

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. Dr Nicole Evanosky allows following entities to bill medicare on her behalf.
Provider NameCip Rehabilitation Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1669963039
PECOS PAC ID: 4789932104
Enrollment ID: O20180801002322

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. Dr Nicole Evanosky 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 AddressPractice Location Address
Dr Nicole Evanosky, PT, DPT
5 Jacquelyn Ln,
Dallas, PA 18612-9107

Ph: (570) 574-1930
Dr Nicole Evanosky, PT, DPT
5 Jacquelyn Ln,
Dallas, PA 18612-9107

Ph: (570) 574-1930

Reviews and Comments


Physical Therapist in Dallas, PA

Emily Hammond,
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Practice Location: 301 Lake St, Dallas, PA 18612
Phone: 607-675-8600    
Dana Ann Menzel, PT
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Medicare: Not Enrolled in Medicare
Practice Location: 55 W Center Hill Rd, Dallas, PA 18612
Phone: 570-675-8600    
Kristina Mary Ruby, DPT
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Medicare: Not Enrolled in Medicare
Practice Location: 301 Lake St, Dallas, PA 18612
Phone: 570-266-2920    
Ms. Rebecca Ann Yurko, MPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 26 Main St, Gem-riverside Rehab, Dallas, PA 18612
Phone: 570-674-2659    Fax: 570-675-8980
Ms. Mary Lou Williams, MS/RPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5 Pioneer Ave, Dallas, PA 18612
Phone: 570-262-9836    
Mrs. Jane Elizabeth Ketchner, L.P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 301 Lake St, Dallas, PA 18612
Phone: 579-675-9588    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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