Mrs Judianne King Nichols, MPT in Star, ID - Medicare Physical Therapist Provider

Mrs Judianne King Nichols, MPT is a medicare enrolled "Physical Therapist" provider in Star, Idaho. Her current practice location is 9652 W State Street, Star, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 286-0766.

Mrs Judianne King Nichols is licensed to practice in Idaho (license number RPT1371) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184794810.

Contact Information

	Mrs Judianne King Nichols, MPT
	9652 W State Street, Star, ID 83669-5858
	(208) 286-0766
	(208) 286-0768

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Judianne King Nichols
Gender	Female
Speciality	Physical Therapist
Location	9652 W State Street, Star, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184794810
Provider Enumeration Date: 11/09/2006
Last Update Date: 07/02/2012

Medicare PECOS Information:

PECOS PAC ID: 1153300884
Enrollment ID: I20040720001582

Medical Identifiers

Medical identifiers for Mrs Judianne King Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184794810	NPI	-	NPPES
806941800	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1371 (Idaho)	Secondary
225100000X	Physical Therapist	RPT1371 (Idaho)	Primary
225100000X	Physical Therapist	(* (Not Available))	Secondary

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. Mrs Judianne King Nichols allows following entities to bill medicare on her behalf.

Provider Name	Nichols Therapy Group P.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043380769 PECOS PAC ID: 0345229068 Enrollment ID: O20040716000273

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. Mrs Judianne King 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
Mrs Judianne King Nichols, MPT 9652 W State Street, Star, ID 83669-5858 Ph: (208) 286-0766	Mrs Judianne King Nichols, MPT 9652 W State Street, Star, ID 83669-5858 Ph: (208) 286-0766

Reviews and Comments

Physical Therapist in Star, ID

Mrs. Danielle-noelle D. Wuerfel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2101 N Cardigan Ave, Star, ID 83669 Phone: 269-277-1224
Northstar Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 9652 W State Street, Star, ID 83669 Phone: 208-286-0766 Fax: 208-286-0768
Krysia Kristine Rousseau, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 704 N Nebula Ct, Star, ID 83669 Phone: 208-703-9824
Lindsey E. Decloss, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9652 W State St, Star, ID 83669 Phone: 208-286-0766
Clayton Towner Shaw, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 64 S Star Rd, Star, ID 83669 Phone: 208-268-0089 Fax: 208-488-4248
Boise River Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 64 S Star Road, Suite 2, Star, ID 83669 Phone: 815-540-6065 Fax: 815-380-6355

Mrs Judianne King Nichols, MPT - Medicare Physical Therapist in Star, ID