Nicole Dacquisto, PT is a medicare enrolled "Physical Therapist - Sports" provider in Atherton, California. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Barman And Sargent Inc and her current practice location is
3351 El Camino Real, Suite 180, Atherton, California. You can reach out to her office (for appointments etc.) via phone at
(650) 365-8350.
Nicole Dacquisto is licensed to practice in California (license number PT28642) 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 1639299365.
Healthcare Provider's Profile
| Full Name | Nicole Dacquisto |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 21 Years |
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| Location | 3351 El Camino Real, Atherton, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole Dacquisto graduated from medical school in 2003
NPI Data:
- NPI Number: 1639299365
- Provider Enumeration Date: 03/29/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2264418789
- Enrollment ID: I20040625000752
Medical Identifiers
Medical identifiers for Nicole Dacquisto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639299365 | NPI | - | NPPES |
| PT28642 | Other | CA | PT LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2251S0007X | Physical Therapist - Sports | PT28642 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Barman And Sargent Inc | 2163317025 | 14 |
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. Nicole Dacquisto allows following entities to bill medicare on her behalf.
| Provider Name | Barman & Sargent Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1225156524
PECOS PAC ID: 2163317025
Enrollment ID: O20040218001197 |
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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. Nicole Dacquisto 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 |
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Nicole Dacquisto, PT
3351 El Camino Real, Suite 180,
Atherton, CA 94027-3811
Ph: (650) 365-8350 | Nicole Dacquisto, PT
3351 El Camino Real, Suite 180,
Atherton, CA 94027-3811
Ph: (650) 365-8350 |
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