Jacqueline Nicholson, PT, DPT in Jefferson, WI - Medicare Physical Therapy Provider

Jacqueline Nicholson, PT, DPT is a medicare enrolled "Physical Therapist" provider in Jefferson, Wisconsin. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Aegis Group Practice Llc and her current practice location is 1130 Collins Rd, Jefferson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 470-6950.

Jacqueline Nicholson 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 1114430725.

Contact Information

	Jacqueline Nicholson, PT, DPT
	1130 Collins Rd, Jefferson, WI 53549-2939
	(262) 470-6950
	(262) 470-6950

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Nicholson
Gender	Female
Speciality	Physical Therapy
Experience	8 Years
Location	1130 Collins Rd, Jefferson, Wisconsin
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:

Jacqueline Nicholson graduated from medical school in 2016

NPI Data:

NPI Number: 1114430725
Provider Enumeration Date: 11/06/2017
Last Update Date: 11/06/2017

Medicare PECOS Information:

PECOS PAC ID: 5496089591
Enrollment ID: I20190624002265

Medical Identifiers

Medical identifiers for Jacqueline Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114430725	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aegis Group Practice Llc	5193036432	284

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. Jacqueline Nicholson 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: 1275073363 PECOS PAC ID: 5193036432 Enrollment ID: O20170614002978

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. Jacqueline Nicholson 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
Jacqueline Nicholson, PT, DPT 412 E Forest St, Oconomowoc, WI 53066-3708 Ph: (262) 470-6950	Jacqueline Nicholson, PT, DPT 1130 Collins Rd, Jefferson, WI 53549-2939 Ph: (262) 470-6950

Reviews and Comments

Physical Therapist in Jefferson, WI

Gabrielle A Thomas, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 155 Collins Rd, Jefferson, WI 53549 Phone: 800-974-4378 Fax: 630-515-1536
Jordyn A Hill, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 155 Collins Rd, Jefferson, WI 53549 Phone: 800-974-4378 Fax: 630-515-1536
Dr. Todd G Goldbeck, DPT, ATC, CSCS, STC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Highway 26 South, Jefferson, WI 53549 Phone: 608-279-6960 Fax: 866-401-0083
Rachel Johnston Puda, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1130 Collins Rd, Jefferson, WI 53549 Phone: 920-674-3170
Ryan Michael Baldry, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1325 S Rockwell St, Jefferson, WI 53549 Phone: 920-222-1807
Molly Thoma, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1130 Collins Rd, Jefferson, WI 53549 Phone: 920-674-6077

Jacqueline Nicholson, PT, DPT - Medicare Physical Therapist in Jefferson, WI