Nichole Perrin, in San Clemente, CA - Medicare Occupational Therapist Provider

Nichole Perrin, is a medicare enrolled "Occupational Therapist" provider in San Clemente, California. Her current practice location is 39 Avenida Brio, San Clemente, California. You can reach out to her office (for appointments etc.) via phone at (714) 356-3892.

Nichole Perrin is licensed to practice in California (license number 22354) 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 1710690003.

Contact Information

	Nichole Perrin,
	39 Avenida Brio, San Clemente, CA 92673-6844
	(714) 356-3892
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nichole Perrin
Gender	Female
Speciality	Occupational Therapist
Location	39 Avenida Brio, San Clemente, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710690003
Provider Enumeration Date: 01/02/2023
Last Update Date: 01/02/2023

Medicare PECOS Information:

PECOS PAC ID: 7719358985
Enrollment ID: I20230126000330

Medical Identifiers

Medical identifiers for Nichole Perrin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710690003	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	22354 (California)	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. Nichole Perrin allows following entities to bill medicare on her behalf.

Provider Name	Powerback Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1962001446 PECOS PAC ID: 2365359932 Enrollment ID: O20140731000901

Provider Name	Orthopaedic And Neurological Rehab Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20160720000431

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. Nichole Perrin 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
Nichole Perrin, 39 Avenida Brio, San Clemente, CA 92673-6844 Ph: (714) 356-3892	Nichole Perrin, 39 Avenida Brio, San Clemente, CA 92673-6844 Ph: (714) 356-3892

Reviews and Comments

Occupational Therapist in San Clemente, CA

Amy Sadek, PHD, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 970 Calle Amanecer Ste A, San Clemente, CA 92673 Phone: 949-498-5100
Dee Marszal, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Calle Amanecer, San Clemente, CA 92673 Phone: 949-498-5100 Fax: 949-366-5665
Rima Arsenault, MA OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1031 Avenida Pico Ste 201, San Clemente, CA 92673 Phone: 949-388-8788
Amy Moss, MA, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 970 Calle Amanecer Ste A, San Clemente, CA 92673 Phone: 949-498-5100
Macy Fraser Clark, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1000 Calle Amanecer, San Clemente, CA 92673 Phone: 949-498-5100
Lauren Wynne, MA, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 W Avenida Cordoba, San Clemente, CA 92672 Phone: 949-973-2983
Malia Ertel, OTR/L, MS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Calle Amanecer, San Clemente, CA 92673 Phone: 949-498-5100

Nichole Perrin, - Medicare Occupational Therapist in San Clemente, CA