Nicole Heather Koppenhaver, DPT in San Antonio, TX - Medicare Physical Therapist Provider

Nicole Heather Koppenhaver, DPT is a medicare enrolled "Physical Therapist - Neurology" provider in San Antonio, Texas. Her current practice location is 414 Robinhood Pl, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 842-4456.

Nicole Heather Koppenhaver is licensed to practice in Texas (license number 1190051) 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 1942382320.

Contact Information

	Nicole Heather Koppenhaver, DPT
	414 Robinhood Pl, San Antonio, TX 78209-3426
	(210) 842-4456
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Heather Koppenhaver
Gender	Female
Speciality	Physical Therapist - Neurology
Location	414 Robinhood Pl, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942382320
Provider Enumeration Date: 10/19/2006
Last Update Date: 07/15/2011

Medicare PECOS Information:

PECOS PAC ID: 0244368231
Enrollment ID: I20221117000183

Medical Identifiers

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

Identifier	Type	State	Issuer
1942382320	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1190051 (Texas)	Secondary
225100000X	Physical Therapist	6287043-2401 (Utah)	Secondary
2251N0400X	Physical Therapist - Neurology	1190051 (Texas)	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 Heather Koppenhaver allows following entities to bill medicare on her behalf.

Provider Name	Precision Emg Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1811296155 PECOS PAC ID: 4789998360 Enrollment ID: O20150728003977

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 Heather Koppenhaver 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 Heather Koppenhaver, DPT 414 Robinhood Pl, San Antonio, TX 78209-3426 Ph: (210) 842-4456	Nicole Heather Koppenhaver, DPT 414 Robinhood Pl, San Antonio, TX 78209-3426 Ph: (210) 842-4456

Reviews and Comments

Physical Therapist in San Antonio, TX

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Nicole Heather Koppenhaver, DPT - Medicare Physical Therapist in San Antonio, TX