Mrs Carla Sue Nicholas, OT - Medicare Occupational Therapist in Boardman, OH

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Mrs Carla Sue Nicholas, OT is a medicare enrolled "Occupational Therapist" provider in Boardman, Ohio. Her current practice location is 7620 Southern Blvd, Ste 3, Boardman, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 965-9330.

Mrs Carla Sue Nicholas is licensed to practice in Ohio (license number OT003869) 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 1104947449.

Contact Information

Mrs Carla Sue Nicholas, OT
7620 Southern Blvd, Ste 3,
Boardman, OH 44512-5667
(330) 965-9330
(330) 965-9308

Map and Direction




Healthcare Provider's Profile

Full NameMrs Carla Sue Nicholas
GenderFemale
SpecialityOccupational Therapist
Location7620 Southern Blvd, Boardman, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104947449
  • Provider Enumeration Date: 04/03/2007
  • Last Update Date: 04/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4082796685
  • Enrollment ID: I20080204000456

Medical Identifiers

Medical identifiers for Mrs Carla Sue Nicholas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104947449NPI-NPPES
0956112MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT003869 (Ohio)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 Carla Sue Nicholas allows following entities to bill medicare on her behalf.
Provider NameTudor Home Therapies Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1295783389
PECOS PAC ID: 1850290644
Enrollment ID: O20031231000078
Provider NameTriad Health Services Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1588925457
PECOS PAC ID: 9032367917
Enrollment ID: O20120918000787

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 Carla Sue Nicholas 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 Carla Sue Nicholas, OT
1397 S Canfield Niles Rd, Unit 1,
Austintown, OH 44515-4084

Ph: (330) 953-0129		Mrs Carla Sue Nicholas, OT
7620 Southern Blvd, Ste 3,
Boardman, OH 44512-5667

Ph: (330) 965-9330

Reviews and Comments


Occupational Therapist in Boardman, OH

Shannon Lee Montgomery, OT
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 835 Mckay Ct Ste 100, Boardman, OH 44512
Phone: 330-965-3899    Fax: 330-965-3839
Leah Weinstock, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 7630 Southern Blvd, Boardman, OH 44512
Phone: 330-271-1729    
Emily Kunselman, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8561 Market St, Boardman, OH 44512
Phone: 330-953-2383    Fax: 330-953-2384
Sarah Raspovic, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8561 Market St, Boardman, OH 44512
Phone: 330-953-2383    
Tu Dor Home Therapies Inc
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7645 Market St, Suite 110, Boardman, OH 44512
Phone: 330-965-9330    Fax: 330-965-9311
Shannon Mulichak,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1480 Barbie Dr, Boardman, OH 44512
Phone: 330-402-9342    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.