Nicole S Herzog, DPT in Green Bay, WI - Medicare Physical Therapist Provider

Nicole S Herzog, DPT is a medicare enrolled "Physical Therapist" provider in Green Bay, Wisconsin. Her current practice location is 3237 Voyager Dr, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 468-8288.

Nicole S Herzog is licensed to practice in Wisconsin (license number 12336) 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 1164863429.

Contact Information

	Nicole S Herzog, DPT
	3237 Voyager Dr, Green Bay, WI 54311-8349
	(920) 468-8288
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole S Herzog
Gender	Female
Speciality	Physical Therapist
Location	3237 Voyager Dr, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164863429
Provider Enumeration Date: 07/15/2013
Last Update Date: 12/08/2021

Medicare PECOS Information:

PECOS PAC ID: 2365778008
Enrollment ID: I20190801002443

Medical Identifiers

Medical identifiers for Nicole S Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164863429	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12336 (Wisconsin)	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. Nicole S Herzog allows following entities to bill medicare on her behalf.

Provider Name	Baycare Aurora Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579

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 S Herzog 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
Nicole S Herzog, DPT 3237 Voyager Dr, Green Bay, WI 54311-8349 Ph: (920) 468-8288	Nicole S Herzog, DPT 3237 Voyager Dr, Green Bay, WI 54311-8349 Ph: (920) 468-8288

Reviews and Comments

Physical Therapist in Green Bay, WI

Anne Marie Hein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3101 S Packerland Dr, Green Bay, WI 54313 Phone: 920-592-3845
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Alexander Lee Peterson, D-PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3263 Eaton Rd, Green Bay, WI 54311 Phone: 920-433-6700 Fax: 920-433-6719
Mr. Thomas J Krahn, DPT, LAT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2502 S. Ashland Ave., Green Bay, WI 54304 Phone: 920-496-4750
Tony James Busse, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1920 Libal St, Green Bay, WI 54301 Phone: 920-433-0111 Fax: 920-433-8765
Jill Ball, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1760 Shawano Ave, Green Bay, WI 54303 Phone: 605-830-8227

Nicole S Herzog, DPT - Medicare Physical Therapist in Green Bay, WI