Dawn L Nichols, OTR in Waukesha, WI - Medicare Occupational Therapist Provider

Dawn L Nichols, OTR is a medicare enrolled "Occupational Therapist" provider in Waukesha, Wisconsin. Her current practice location is S66w25120 Moraine Ct, Waukesha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 662-0571.

Dawn L Nichols is licensed to practice in Wisconsin (license number 2201) 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 1649447400.

Contact Information

	Dawn L Nichols, OTR
	S66w25120 Moraine Ct, Waukesha, WI 53189-9607
	(262) 662-0571
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dawn L Nichols
Gender	Female
Speciality	Occupational Therapist
Location	S66w25120 Moraine Ct, Waukesha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649447400
Provider Enumeration Date: 05/12/2008
Last Update Date: 11/01/2016

Medicare PECOS Information:

PECOS PAC ID: 5991090524
Enrollment ID: I20160822002546

Medical Identifiers

Medical identifiers for Dawn L Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649447400	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	2201 (Wisconsin)	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. Dawn L Nichols allows following entities to bill medicare on her behalf.

Provider Name	Froedtert &the Medical College Of Wisconsin Community Physicians Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699

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. Dawn L Nichols 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
Dawn L Nichols, OTR S66w25120 Moraine Ct, Waukesha, WI 53189-9607 Ph: (262) 662-0571	Dawn L Nichols, OTR S66w25120 Moraine Ct, Waukesha, WI 53189-9607 Ph: (262) 662-0571

Reviews and Comments

Occupational Therapist in Waukesha, WI

Jo Meek, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1451 Cleveland Ave, Waukesha, WI 53186 Phone: 262-547-2123
Mrs. Linda Marie Wetzel, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Riverview Ave, Waukesha, WI 53188 Phone: 262-424-0094 Fax: 262-896-6879
Mrs. Lynn Marie Knull, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1451 Cleveland Ave, Waukesha, WI 53186 Phone: 262-547-2123
Mrs. Susan Vaughan Kratz, OTR, CST Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: W238n1690 Rockwood Dr, Suite 500, Waukesha, WI 53188 Phone: 262-347-2222 Fax: 262-347-2251
Kristen N Kemos, MOT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 Delafield St, Ste 120, Waukesha, WI 53188 Phone: 262-521-9762 Fax: 262-521-1091
Rachel Urban, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: S52w23111 Hunters Holw, Waukesha, WI 53189 Phone: 262-825-8731
Amanda Ann Ortiz, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 514 Riverview Ave, Waukesha, WI 53188 Phone: 262-896-6829 Fax: 262-896-6879

Dawn L Nichols, OTR - Medicare Occupational Therapist in Waukesha, WI