Nicole Larson, DPT in Livermore, CA - Medicare Physical Therapist Provider

Nicole Larson, DPT is a medicare enrolled "Physical Therapist" provider in Livermore, California. Her current practice location is 2492 Nissen Dr, Livermore, California. You can reach out to her office (for appointments etc.) via phone at (925) 980-8130.

Nicole Larson is licensed to practice in California (license number 295833) 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 1821566530.

Contact Information

	Nicole Larson, DPT
	2492 Nissen Dr, Livermore, CA 94551-7704
	(925) 980-8130
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Larson
Gender	Female
Speciality	Physical Therapist
Location	2492 Nissen Dr, Livermore, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821566530
Provider Enumeration Date: 11/12/2018
Last Update Date: 11/12/2018

Medicare PECOS Information:

PECOS PAC ID: 4486992005
Enrollment ID: I20190206001862

Medical Identifiers

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

Identifier	Type	State	Issuer
1821566530	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	295833 (California)	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 Larson allows following entities to bill medicare on her behalf.

Provider Name	California Luna Care Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123

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 Larson 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 Larson, DPT 6759 Sierra Ct Ste A, Dublin, CA 94568-2657 Ph: (925) 803-0530	Nicole Larson, DPT 2492 Nissen Dr, Livermore, CA 94551-7704 Ph: (925) 980-8130

Reviews and Comments

Physical Therapist in Livermore, CA

Kenneth David Randall, MPT. GCS. ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4951 Arroyo Rd, Livermore, CA 94550 Phone: 925-373-4700 Fax: 925-449-6520
Ashley Schempp, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 87 Fenton St, Livermore, CA 94550 Phone: 925-373-9394
Mr. Kevin M Ochs, MPT, GCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4951 Arroyo Rd, Veterans Affairs Hospital, M/s 117 Lvd, Livermore, CA 94550 Phone: 925-373-4700
James Muller, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 E Stanley Blvd # D, Ste 112, Livermore, CA 94550 Phone: 925-243-1385 Fax: 925-243-0127
Dr. James William Bateman, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3848 Madeira Way, Livermore, CA 94550 Phone: 925-783-9043
Gregory Tam, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2492 Nissen Dr, Livermore, CA 94551 Phone: 925-980-8130
Angelika Voss-quinn, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1080 Concannon Blvd, Livermore, CA 94550 Phone: 925-443-9030

Nicole Larson, DPT - Medicare Physical Therapist in Livermore, CA