Nicklas Summers, DPT in Suffolk, VA - Medicare Physical Therapist Provider

Nicklas Summers, DPT is a medicare enrolled "Physical Therapist" provider in Suffolk, Virginia. His current practice location is 5818 Harbour View Blvd Ste 150, Suffolk, Virginia. You can reach out to his office (for appointments etc.) via phone at (747) 215-4100.

Nicklas Summers is licensed to practice in Virginia (license number 2305216289) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417700022.

Contact Information

	Nicklas Summers, DPT
	5818 Harbour View Blvd Ste 150, Suffolk, VA 23435-3327
	(747) 215-4100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicklas Summers
Gender	Male
Speciality	Physical Therapist
Location	5818 Harbour View Blvd Ste 150, Suffolk, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417700022
Provider Enumeration Date: 04/11/2024
Last Update Date: 04/11/2024

Medicare PECOS Information:

PECOS PAC ID: 7719329788
Enrollment ID: I20240522000430

Medical Identifiers

Medical identifiers for Nicklas Summers such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417700022	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305216289 (Virginia)	Primary

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. Nicklas Summers allows following entities to bill medicare on his behalf.

Provider Name	Wardell Orthopaedics, P.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376563809 PECOS PAC ID: 9931187978 Enrollment ID: O20040707001529

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. Nicklas Summers 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
Nicklas Summers, DPT 18169 Morgarts Beach Rd, Smithfield, VA 23430-2623 Ph: (618) 218-9535	Nicklas Summers, DPT 5818 Harbour View Blvd Ste 150, Suffolk, VA 23435-3327 Ph: (747) 215-4100

Reviews and Comments

Physical Therapist in Suffolk, VA

Seth D. Myers, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2012 Meade Pkwy, Suffolk, VA 23434 Phone: 757-934-3366 Fax: 757-539-2322
Carolyn M Carty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2012 Meade Pkwy, Suffolk, VA 23434 Phone: 757-934-3366 Fax: 757-539-2322
Sophie Hoy, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Burnetts Way Ste 230, Suffolk, VA 23434 Phone: 757-942-2022
Katelyn Sidoti, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Burnetts Way Ste 230, Suffolk, VA 23434 Phone: 757-942-2022
Janay Dockery, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 150 Burnetts Way Ste 230, Suffolk, VA 23434 Phone: 757-942-2022
Mrs. Krista C. Stirling, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Anna Goode Way, Suffolk, VA 23434 Phone: 757-539-5797
Quintin S. Lewis, PT, DPT, CMTPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2007 Meade Pkwy, Suffolk, VA 23434 Phone: 757-539-6300 Fax: 757-539-0704

Nicklas Summers, DPT - Medicare Physical Therapist in Suffolk, VA