Kristie Nickerson, MS OTR/L in Orangeburg, SC - Medicare Occupational Therapy Provider

Kristie Nickerson, MS OTR/L is a medicare enrolled "Occupational Therapist" provider in Orangeburg, South Carolina. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Southern Lakes Therapy Llc and her current practice location is 119 Office Park Dr, Orangeburg, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 536-5509.

Kristie Nickerson is licensed to practice in South Carolina (license number 4040) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851773071.

Contact Information

	Kristie Nickerson, MS OTR/L
	119 Office Park Dr, Orangeburg, SC 29118-2407
	(803) 536-5509
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristie Nickerson
Gender	Female
Speciality	Occupational Therapy
Experience	12 Years
Location	119 Office Park Dr, Orangeburg, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristie Nickerson graduated from medical school in 2012

NPI Data:

NPI Number: 1851773071
Provider Enumeration Date: 06/24/2015
Last Update Date: 12/13/2017

Medicare PECOS Information:

PECOS PAC ID: 2860752201
Enrollment ID: I20180205000872

Medical Identifiers

Medical identifiers for Kristie Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851773071	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XP0200X	Occupational Therapist - Pediatrics	OT 3011 (Maine)	Secondary
225X00000X	Occupational Therapist	4040 (South Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Lakes Therapy Llc	3779711031	3

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. Kristie Nickerson allows following entities to bill medicare on her behalf.

Provider Name	Greenville Proaxis Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1669457859 PECOS PAC ID: 0244267771 Enrollment ID: O20050726000769

Provider Name	Southern Lakes Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1700212420 PECOS PAC ID: 3779711031 Enrollment ID: O20140113000282

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. Kristie Nickerson 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
Kristie Nickerson, MS OTR/L 34 Loon Dr, Topsham, ME 04086-1538 Ph: (207) 837-4447	Kristie Nickerson, MS OTR/L 119 Office Park Dr, Orangeburg, SC 29118-2407 Ph: (803) 536-5509

Reviews and Comments

Occupational Therapist in Orangeburg, SC

Margaret Mclaurin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 119 Office Park Dr, Orangeburg, SC 29118 Phone: 803-536-5509
Ms. Barbara Lee Graham, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 Mulberry St, Orangeburg, SC 29118 Phone: 803-531-4368
B L Graham Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 Mulberry St, Orangeburg, SC 29118 Phone: 803-747-0736
Mrs. Adrienne Barron Mcmillan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1895 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2600 Fax: 803-395-2594
Katie Myers Haddock, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 575 Stonewall Jackson Blvd, Orangeburg, SC 29115 Phone: 803-531-5682
Mrs. Jennifer S Bunch, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 230 Elliott St, Orangeburg, SC 29115 Phone: 803-534-6567
Mitzi Binnicker Williams, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 893-395-4378 Fax: 803-395-4376

Kristie Nickerson, MS OTR/L - Medicare Occupational Therapist in Orangeburg, SC