Mrs Nicole Stacy Blacher, PT - Medicare Physical Therapist in San Diego, CA

Mrs Nicole Stacy Blacher, PT is a medicare enrolled "Physical Therapist" provider in San Diego, California. She graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Institute For Specialized Medicine Inc and her current practice location is 11777 Sorrento Valley Rd, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 967-7701.

Mrs Nicole Stacy Blacher is licensed to practice in California (license number PT 18069) 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 1265602601.

Contact Information

Mrs Nicole Stacy Blacher, PT
11777 Sorrento Valley Rd,
San Diego, CA 92121-1084
(858) 967-7701
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Nicole Stacy Blacher
GenderFemale
SpecialityPhysical Therapy
Experience34 Years
Location11777 Sorrento Valley Rd, San Diego, California
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:
  • Mrs Nicole Stacy Blacher graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1265602601
  • Provider Enumeration Date: 02/29/2008
  • Last Update Date: 02/05/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7416252564
  • Enrollment ID: I20160226001427

Medical Identifiers

Medical identifiers for Mrs Nicole Stacy Blacher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265602601NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT 18069 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Institute For Specialized Medicine Inc12544013752

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 Nicole Stacy Blacher allows following entities to bill medicare on her behalf.
Provider NameInstitute For Specialized Medicine Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1881870566
PECOS PAC ID: 1254401375
Enrollment ID: O20080602000490

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 Nicole Stacy Blacher 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
Mrs Nicole Stacy Blacher, PT
4653 Carmel Mountain Rd, Ste 308-145,
San Diego, CA 92130-6650

Ph: (858) 967-7701
Mrs Nicole Stacy Blacher, PT
11777 Sorrento Valley Rd,
San Diego, CA 92121-1084

Ph: (858) 967-7701

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.