Nicole Williams, DPT in St Louis Park, MN - Medicare Physical Therapy Provider

Nicole Williams, DPT is a medicare enrolled "Physical Therapist" provider in St Louis Park, Minnesota. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Infinite Health Collaborative Pa and her current practice location is 3912 Excelsior Blvd, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 835-4512.

Nicole Williams is licensed to practice in Minnesota (license number 10211) 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 1013377308.

Contact Information

	Nicole Williams, DPT
	3912 Excelsior Blvd, St Louis Park, MN 55416-4709
	(952) 835-4512
	(888) 425-0398

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Williams
Gender	Female
Speciality	Physical Therapy
Experience	9 Years
Location	3912 Excelsior Blvd, St Louis Park, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Williams graduated from medical school in 2015

NPI Data:

NPI Number: 1013377308
Provider Enumeration Date: 02/29/2016
Last Update Date: 07/19/2021

Medicare PECOS Information:

PECOS PAC ID: 3678865102
Enrollment ID: I20160701001120

Medical Identifiers

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

Identifier	Type	State	Issuer
1013377308	NPI	-	NPPES
071898	Other	MN	OPTUM (UNITED HEALTH CARE) PROVIDER ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	10211 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Infinite Health Collaborative Pa	1052225042	761

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 Williams allows following entities to bill medicare on her behalf.

Provider Name	Infinite Health Collaborative Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574

Provider Name	Viverant Pt Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1346553179 PECOS PAC ID: 9931529385 Enrollment ID: O20201023000861

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 Williams 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 Williams, DPT 7825 3rd St N Ste 105, Oakdale, MN 55128-5444 Ph: (952) 835-4512	Nicole Williams, DPT 3912 Excelsior Blvd, St Louis Park, MN 55416-4709 Ph: (952) 835-4512

Reviews and Comments

Physical Therapist in St Louis Park, MN

Mary Katherine Kosanda, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-6014
Sarah Sween Ramer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426 Phone: 952-993-7169 Fax: 952-993-0300
Jennifer A Deutz, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5900
Angela Marie Johnson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5900
Afton Rose Wise, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000
Kathy Ann Kurdelmeier, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5486

Nicole Williams, DPT - Medicare Physical Therapist in St Louis Park, MN