Nicholas Scott Dolezal, PT, DPT in Bullhead City, AZ - Medicare Physical Therapy Provider

Nicholas Scott Dolezal, PT, DPT is a medicare enrolled "Physical Therapist" provider in Bullhead City, Arizona. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Humpal Chiropractic, Llc and his current practice location is 3003 Hway 95 Ste 61, Bullhead City, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 440-6880.

Nicholas Scott Dolezal is licensed to practice in Arizona (license number LPT-32019) 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 1003587270.

Contact Information

	Nicholas Scott Dolezal, PT, DPT
	3003 Hway 95 Ste 61, Bullhead City, AZ 86442-7896
	(928) 440-6880
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Scott Dolezal
Gender	Male
Speciality	Physical Therapy
Experience	3 Years
Location	3003 Hway 95 Ste 61, Bullhead City, Arizona
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:

Nicholas Scott Dolezal graduated from medical school in 2021

NPI Data:

NPI Number: 1003587270
Provider Enumeration Date: 09/27/2021
Last Update Date: 09/27/2021

Medicare PECOS Information:

PECOS PAC ID: 0648660217
Enrollment ID: I20230912000143

Medical Identifiers

Medical identifiers for Nicholas Scott Dolezal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003587270	NPI	-	NPPES
LPT-32019	Other	AZ	ARIZONA STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	LPT-32019 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Humpal Chiropractic, Llc	5496013419	5

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. Nicholas Scott Dolezal allows following entities to bill medicare on his behalf.

Provider Name	Humpal Chiropractic, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1992219323 PECOS PAC ID: 5496013419 Enrollment ID: O20171221001100

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. Nicholas Scott Dolezal 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
Nicholas Scott Dolezal, PT, DPT 3003 Hway 95 Ste 61, Bullhead City, AZ 86442-7896 Ph: (928) 440-6880	Nicholas Scott Dolezal, PT, DPT 3003 Hway 95 Ste 61, Bullhead City, AZ 86442-7896 Ph: (928) 440-6880

Reviews and Comments

Physical Therapist in Bullhead City, AZ

Mr. Max Cornia, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2150 Silver Creek Rd, Bullhead City, AZ 86442 Phone: 928-763-8700 Fax: 928-763-9795
Maren Dela Cruz Simpson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2150 Silver Creek Rd, Bullhead City, AZ 86442 Phone: 928-763-8700
Physical Therapy Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1788 Highway 95, #14, Bullhead City, AZ 86442 Phone: 928-758-1007 Fax: 928-758-2544
Mfr Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2585 Miracle Mile Ste 104a, Bullhead City, AZ 86442 Phone: 928-296-6021
Carol Ann Diehl, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3003 Highway 95, Suite 61, Bullhead City, AZ 86442 Phone: 928-758-0029 Fax: 928-758-0055
Paragon Healthcare Of Arizona,llc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2585 S Miracle Mile, Suite 107, Bullhead City, AZ 86442 Phone: 928-444-8168 Fax: 928-444-8169

Nicholas Scott Dolezal, PT, DPT - Medicare Physical Therapist in Bullhead City, AZ