Nicole Adelita Brown, OTR/L is a medicare enrolled "Occupational Therapist" provider in Waukegan, Illinois. She graduated from medical school in 2024 and has 2 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. Her current practice location is
315 N Elmwood Ave, Waukegan, Illinois. You can reach out to her office (for appointments etc.) via phone at
(224) 600-0695.
Nicole Adelita Brown is licensed to practice in Illinois (license number 056.016454) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1336954825.
Healthcare Provider's Profile
| Full Name | Nicole Adelita Brown |
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| Gender | Female |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 2 Years |
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| Location | 315 N Elmwood Ave, Waukegan, Illinois |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Nicole Adelita Brown graduated from medical school in 2024
NPI Data:
- NPI Number: 1336954825
- Provider Enumeration Date: 02/11/2025
- Last Update Date: 02/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062934722
- Enrollment ID: I20250528001424
Medical Identifiers
Medical identifiers for Nicole Adelita Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336954825 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | 056.016454 (Illinois) | 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. Nicole Adelita Brown allows following entities to bill medicare on her behalf.
| Provider Name | Paxxon Healthcare Services Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003174087 PECOS PAC ID: 8325959554 Enrollment ID: O20130917000750 |
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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. Nicole Adelita Brown 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 |
Nicole Adelita Brown, OTR/L 315 N Elmwood Ave, Waukegan, IL 60085-3517 Ph: (224) 600-0695 | Nicole Adelita Brown, OTR/L 315 N Elmwood Ave, Waukegan, IL 60085-3517 Ph: (224) 600-0695 |
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