Mr Everett Nicolai Iii, DPT in Tigard, OR - Medicare Physical Therapy Provider

Mr Everett Nicolai Iii, DPT is a medicare enrolled "Physical Therapist" provider in Tigard, Oregon. He went to University Of Washington School Of Medicine and graduated in 2006 and has 19 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Kjb Consulting Corporation and his current practice location is 9735 Sw Shady Ln Ste 203, Tigard, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 223-1856.

Mr Everett Nicolai Iii is licensed to practice in Oregon (license number 64923) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639263718.

Contact Information

	Mr Everett Nicolai Iii, DPT
	9735 Sw Shady Ln Ste 203, Tigard, OR 97223-5481
	(503) 223-1856
	(503) 223-1765

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Everett Nicolai Iii
Gender	Male
Speciality	Physical Therapy
Experience	19 Years
Location	9735 Sw Shady Ln Ste 203, Tigard, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Everett Nicolai Iii attended and graduated from University Of Washington School Of Medicine in 2006

NPI Data:

NPI Number: 1639263718
Provider Enumeration Date: 10/03/2006
Last Update Date: 07/31/2023

Medicare PECOS Information:

PECOS PAC ID: 9436159332
Enrollment ID: I20230823003020

Medical Identifiers

Medical identifiers for Mr Everett Nicolai Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639263718	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	00010235 (Washington)	Secondary
225100000X	Physical Therapist	64923 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kjb Consulting Corporation	1759504590	17

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. Mr Everett Nicolai Iii allows following entities to bill medicare on his behalf.

Provider Name	Kjb Consulting Corporation
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1497172373 PECOS PAC ID: 1759504590 Enrollment ID: O20140522001817

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. Mr Everett Nicolai Iii 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
Mr Everett Nicolai Iii, DPT 9735 Sw Shady Ln Ste 203, Tigard, OR 97223-5481 Ph: (503) 223-1856	Mr Everett Nicolai Iii, DPT 9735 Sw Shady Ln Ste 203, Tigard, OR 97223-5481 Ph: (503) 223-1856

Reviews and Comments

Physical Therapist in Tigard, OR

Evan Liu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7800 Sw Durham Rd, Ste. 500, Tigard, OR 97224 Phone: 503-937-0090
Alexis Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16083 Sw Upper Boones Ferry Rd, Tigard, OR 97224 Phone: 800-219-8835
Noel L Baier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13200 Sw Pacific Hwy, Tigard, OR 97223 Phone: 503-598-2008 Fax: 503-598-2020
Colbie J Jorgensen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11900 Sw Greenburg Rd, Tigard, OR 97223 Phone: 503-620-5556 Fax: 503-624-0118
Mrs. Jessica Steele-thornborrow, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18039 Sw Lower Boones Ferry Rd, Tigard, OR 97224 Phone: 503-753-1537
Kristen Tervo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12123 Sw 69th Ave, Tigard, OR 97223 Phone: 717-087-6009
James Matthew Hale, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12011 Sw 70th Ave, Tigard, OR 97223 Phone: 503-213-2020 Fax: 503-513-2023

Mr Everett Nicolai Iii, DPT - Medicare Physical Therapist in Tigard, OR