Nyssa Rosina Midden, in Clearlake, CA - Medicare Physical Therapist Provider

Nyssa Rosina Midden, is a medicare enrolled "Physical Therapist" provider in Clearlake, California. Her current practice location is 14855 Olympic Dr, Clearlake, California. You can reach out to her office (for appointments etc.) via phone at (707) 995-4888.

Nyssa Rosina Midden is licensed to practice in California (license number 293808) 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 1306330600.

Contact Information

	Nyssa Rosina Midden,
	14855 Olympic Dr, Clearlake, CA 95422-9522
	(707) 995-4888
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nyssa Rosina Midden
Gender	Female
Speciality	Physical Therapist
Location	14855 Olympic Dr, Clearlake, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306330600
Provider Enumeration Date: 06/20/2018
Last Update Date: 06/20/2018

Medicare PECOS Information:

PECOS PAC ID: 2062755069
Enrollment ID: I20190514003052

Medical Identifiers

Medical identifiers for Nyssa Rosina Midden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306330600	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PTP-PT-LIC-13014 (Montana)	Secondary
225100000X	Physical Therapist	62358 (Oregon)	Secondary
225100000X	Physical Therapist	5066 (New Mexico)	Secondary
225100000X	Physical Therapist	2305211199 (Virginia)	Secondary
225100000X	Physical Therapist	60847038 (Washington)	Secondary
225100000X	Physical Therapist	293808 (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. Nyssa Rosina Midden allows following entities to bill medicare on her behalf.

Provider Name	Wasilla Physical Therapy Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1023364205 PECOS PAC ID: 1456504448 Enrollment ID: O20121222000035

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. Nyssa Rosina Midden 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
Nyssa Rosina Midden, 3493 Springer Ridge Rd, Carbondale, IL 62902-7703 Ph: () -	Nyssa Rosina Midden, 14855 Olympic Dr, Clearlake, CA 95422-9522 Ph: (707) 995-4888

Reviews and Comments

Physical Therapist in Clearlake, CA

Clear Lake Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14855 Olympic Dr, Clearlake, CA 95422 Phone: 707-994-7248 Fax: 707-994-7248
Marilyn Jean Hill, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3805 Dexter Ln, Clearlake, CA 95422 Phone: 707-994-7738 Fax: 707-994-7769
Sarah Veseling, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14855 Olympic Dr, Clearlake, CA 95422 Phone: 707-994-7248
Janice Warne, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3805 Dexter Ln, Clearlake, CA 95422 Phone: 707-996-7738

Nyssa Rosina Midden, - Medicare Physical Therapist in Clearlake, CA