Nicole Dominique Jalandoni Vasquez, in Lacey, WA - Medicare Physical Therapist Provider

Nicole Dominique Jalandoni Vasquez, is a medicare enrolled "Physical Therapist" provider in Lacey, Washington. Her current practice location is 1445 Galaxy Dr Ne Ste 301, Lacey, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 456-1444.

Nicole Dominique Jalandoni Vasquez is licensed to practice in Washington (license number PT61432108) 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 1033939244.

Contact Information

	Nicole Dominique Jalandoni Vasquez,
	1445 Galaxy Dr Ne Ste 301, Lacey, WA 98516-4754
	(360) 456-1444
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Dominique Jalandoni Vasquez
Gender	Female
Speciality	Physical Therapist
Location	1445 Galaxy Dr Ne Ste 301, Lacey, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033939244
Provider Enumeration Date: 10/12/2024
Last Update Date: 10/12/2024

Medicare PECOS Information:

PECOS PAC ID: 1951834076
Enrollment ID: I20241029000598

Medical Identifiers

Medical identifiers for Nicole Dominique Jalandoni Vasquez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033939244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT61432108 (Washington)	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 Dominique Jalandoni Vasquez allows following entities to bill medicare on her behalf.

Provider Name	Penrose & Associates Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1740480110 PECOS PAC ID: 1052403896 Enrollment ID: O20070823000833

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 Dominique Jalandoni Vasquez 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 Dominique Jalandoni Vasquez, 6462 Steamer Dr Se, Lacey, WA 98513-6230 Ph: (564) 225-7309	Nicole Dominique Jalandoni Vasquez, 1445 Galaxy Dr Ne Ste 301, Lacey, WA 98516-4754 Ph: (360) 456-1444

Reviews and Comments

Physical Therapist in Lacey, WA

Dorothy Kilvington, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 130 Marvin Rd Se Ste 203, Lacey, WA 98503 Phone: 360-456-3300
Abigail Namocatcat, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4200 6th Ave Se, Suite 201, Lacey, WA 98503 Phone: 360-459-8311
Summer Rae Koogler, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5730 Ruddell Rd Se Ste A, Lacey, WA 98503 Phone: 360-338-3901
Juman Park, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4800 College St Se, Lacey, WA 98503 Phone: 360-486-2900
Samantha Rossi Perdue, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7940 29th Ave Ne Ste 101, Lacey, WA 98516 Phone: 360-870-2473
Kathleen G Jech, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4770 Yelm Hwy Se, Lacey, WA 98503 Phone: 360-491-6074 Fax: 360-491-6192

Nicole Dominique Jalandoni Vasquez, - Medicare Physical Therapist in Lacey, WA