Nicholas Duplissis, PT, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Norton Shores, Michigan. His current practice location is
945 E Sherman Blvd, Norton Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 737-4374.
Nicholas Duplissis is licensed to practice in Michigan (license number 5501303229) 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 1619731940.
Physician's Profile
| Full Name | Nicholas Duplissis |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 945 E Sherman Blvd, Norton Shores, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619731940
- Provider Enumeration Date: 02/07/2024
- Last Update Date: 02/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971947250
- Enrollment ID: I20240214002069
Medical Identifiers
Medical identifiers for Nicholas Duplissis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619731940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 5501303229 (Michigan) | 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 Duplissis allows following entities to bill medicare on his behalf.
| Entity Name | Ivyrehab Michigan Llc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1104337120
PECOS PAC ID: 6901165893
Enrollment ID: O20180123001245 |
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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 Duplissis 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 |
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Nicholas Duplissis, PT, DPT
829 Moulton Ave,
Muskegon, MI 49445-2919
Ph: (231) 740-4276 | Nicholas Duplissis, PT, DPT
945 E Sherman Blvd,
Norton Shores, MI 49444-1805
Ph: (231) 737-4374 |
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