Nicole Elizabeth Glidden, PT is a medicare enrolled "Physical Therapist" provider in North Yarmouth, Maine. Her current practice location is
18 Hunters Way, North Yarmouth, Maine. You can reach out to her office (for appointments etc.) via phone at
(901) 692-3395.
Nicole Elizabeth Glidden is licensed to practice in Maine (license number 3372) 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 1821275017.
Healthcare Provider's Profile
| Full Name | Nicole Elizabeth Glidden |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 18 Hunters Way, North Yarmouth, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821275017
- Provider Enumeration Date: 01/30/2008
- Last Update Date: 03/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385001742
- Enrollment ID: I20230531001753
Medical Identifiers
Medical identifiers for Nicole Elizabeth Glidden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821275017 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 7682 (Tennessee) | Secondary |
| 225100000X | Physical Therapist | 3372 (Maine) | 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 Elizabeth Glidden allows following entities to bill medicare on her behalf.
| Provider Name | H2o Fitness Collaborative Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1003401803
PECOS PAC ID: 5890194500
Enrollment ID: O20211015001141 |
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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 Elizabeth Glidden 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 Elizabeth Glidden, PT
245 Gorham Rd,
Scarborough, ME 04074-9558
Ph: (901) 692-3395 | Nicole Elizabeth Glidden, PT
18 Hunters Way,
North Yarmouth, ME 04097-6761
Ph: (901) 692-3395 |
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