Mrs Carly Anne Nichols, OTD OTR/L - Medicare Occupational Therapist in Wiggins, MS

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Mrs Carly Anne Nichols, OTD OTR/L is a medicare enrolled "Occupational Therapist" provider in Wiggins, Mississippi. Her current practice location is 1601 Central Ave W, Wiggins, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 716-3196.

Mrs Carly Anne Nichols is licensed to practice in Mississippi (license number OT-4116) 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 1679119036.

Contact Information

Mrs Carly Anne Nichols, OTD OTR/L
1601 Central Ave W,
Wiggins, MS 39577-2401
(601) 716-3196
(601) 974-9919

Map and Direction




Healthcare Provider's Profile

Full NameMrs Carly Anne Nichols
GenderFemale
SpecialityOccupational Therapist
Location1601 Central Ave W, Wiggins, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679119036
  • Provider Enumeration Date: 11/20/2019
  • Last Update Date: 05/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9133662562
  • Enrollment ID: I20240613003326

Medical Identifiers

Medical identifiers for Mrs Carly Anne Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679119036NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT-4116 (Mississippi)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. Mrs Carly Anne Nichols allows following entities to bill medicare on her behalf.
Provider NameAgilitas Usa, Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1962417444
PECOS PAC ID: 3375454648
Enrollment ID: O20130219000317
Provider NameDrayer Physical Therapy Mississippi Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1952732448
PECOS PAC ID: 3274834858
Enrollment ID: O20160314001040
Provider NameBenchmark Physical Therapy Of Mississippi Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1811547680
PECOS PAC ID: 0840626446
Enrollment ID: O20200130000021

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. Mrs Carly Anne 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 AddressPractice Location Address
Mrs Carly Anne Nichols, OTD OTR/L
1620 Highway 11 N Ste C,
Picayune, MS 39466-2070

Ph: () -		Mrs Carly Anne Nichols, OTD OTR/L
1601 Central Ave W,
Wiggins, MS 39577-2401

Ph: (601) 716-3196

Reviews and Comments


Occupational Therapist in Wiggins, MS

Candace Kemp,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1440 Central Ave E, Wiggins, MS 39577
Phone: 601-928-6700    Fax: 601-928-6731
Devon D Hand, OT
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 550 Simpson St, Wiggins, MS 39577
Phone: 601-528-1634    
Taylor Nicole Lusk, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1436 Central Ave E, Wiggins, MS 39577
Phone: 601-928-1889    
Kelsea Rodriguez, OT
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1601 Central Ave W, Wiggins, MS 39577
Phone: 601-716-3196    
Ashton Hermetz Kramer, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1440 Central Ave E, Wiggins, MS 39577
Phone: 601-928-6700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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