Nicholas Louis Hennicke, in Saint Louis, MO - Medicare Physical Therapist Provider

Nicholas Louis Hennicke, is a medicare enrolled "Physical Therapist" provider in Saint Louis, Missouri. His current practice location is 10199 Woodfield Ln, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (877) 407-3422.

Nicholas Louis Hennicke is licensed to practice in Missouri (license number 2012023539) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003639725.

Contact Information

	Nicholas Louis Hennicke,
	10199 Woodfield Ln, Saint Louis, MO 63132-2922
	(877) 407-3422
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Louis Hennicke
Gender	Male
Speciality	Physical Therapist
Location	10199 Woodfield Ln, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003639725
Provider Enumeration Date: 11/01/2024
Last Update Date: 02/24/2025

Medicare PECOS Information:

PECOS PAC ID: 2668907379
Enrollment ID: I20241118004169

Medical Identifiers

Medical identifiers for Nicholas Louis Hennicke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003639725	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2012023539 (Missouri)	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. Nicholas Louis Hennicke allows following entities to bill medicare on his behalf.

Provider Name	Fox Rehabilitation Services Pt Mo Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1750906095 PECOS PAC ID: 1254754948 Enrollment ID: O20200714002261

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. Nicholas Louis Hennicke 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
Nicholas Louis Hennicke, 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 Ph: () -	Nicholas Louis Hennicke, 10199 Woodfield Ln, Saint Louis, MO 63132-2922 Ph: (877) 407-3422

Reviews and Comments

Physical Therapist in Saint Louis, MO

Brittany Marie Burchett, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3625 Magnolia Ave, Saint Louis, MO 63110 Phone: 314-771-2990
Ms. Martha J Rubinelli, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7733 Forsyth Blvd, Suite 1700, Saint Louis, MO 63105 Phone: 314-863-7422
Hilde Anne Maagad, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5460 Delmar Blvd, Saint Louis, MO 63112 Phone: 314-361-2908
Dr. Lexi Kathleen Wisch, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Holly Hills Ave, Saint Louis, MO 63111 Phone: 314-353-5190 Fax: 314-353-7631
Dr. Danielle Buchanan Ivie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4444 Forest Park Ave, Ste 1210, Saint Louis, MO 63108 Phone: 314-286-1940 Fax: 314-286-1473
Rehab Dynamics, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10435 Clayton Rd, Suite 10, Saint Louis, MO 63131 Phone: 314-442-6249 Fax: 314-787-5949

Nicholas Louis Hennicke, - Medicare Physical Therapist in Saint Louis, MO