Shameem Nickel, PT in Madison, GA - Medicare Physical Therapist Provider

Shameem Nickel, PT is a medicare enrolled "Physical Therapist" provider in Madison, Georgia. Her current practice location is 1680 Eatonton Rd, Madison, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 342-1971.

Shameem Nickel is licensed to practice in Georgia (license number PT006722) 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 1578279915.

Contact Information

	Shameem Nickel, PT
	1680 Eatonton Rd, Madison, GA 30650-4628
	(706) 342-1971
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shameem Nickel
Gender	Female
Speciality	Physical Therapist
Location	1680 Eatonton Rd, Madison, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578279915
Provider Enumeration Date: 01/30/2023
Last Update Date: 01/30/2023

Medicare PECOS Information:

PECOS PAC ID: 5698138782
Enrollment ID: I20230822002710

Medical Identifiers

Medical identifiers for Shameem Nickel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578279915	NPI	-	NPPES
05141975	Other		DATE OF BIRTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT006722 (Georgia)	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. Shameem Nickel allows following entities to bill medicare on her behalf.

Provider Name	Functional Pathways Preferred Of Tennessee Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20150213001140

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. Shameem Nickel 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
Shameem Nickel, PT 3224 Riverstone Dr, Augusta, GA 30907-9291 Ph: (706) 399-1909	Shameem Nickel, PT 1680 Eatonton Rd, Madison, GA 30650-4628 Ph: (706) 342-1971

Reviews and Comments

Physical Therapist in Madison, GA

Hannah Marie Fleming, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1680 Eatonton Rd, Madison, GA 30650 Phone: 706-342-1971
Benchmark Pt - Madison Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1680 Eatonton Rd, Madison, GA 30650 Phone: 706-342-1971 Fax: 706-342-1973
Miss Whitney Lee Bruniera, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1077 S Main St, Madison, GA 30650 Phone: 706-752-1667

Shameem Nickel, PT - Medicare Physical Therapist in Madison, GA