Nicole Jenkins, OTR is a medicare enrolled "Occupational Therapist" provider in Bluff Dale, Texas. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Cerda Pediatric And Neuro Physical Therapy Pllc and her current practice location is
715 Church Street, Bluff Dale, Texas. You can reach out to her office (for appointments etc.) via phone at
(209) 840-4155.
Nicole Jenkins is licensed to practice in Texas (license number 118064) 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 1265077986.
Healthcare Provider's Profile
| Full Name | Nicole Jenkins |
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| Gender | Female |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 9 Years |
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| Location | 715 Church Street, Bluff Dale, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole Jenkins graduated from medical school in 2016
NPI Data:
- NPI Number: 1265077986
- Provider Enumeration Date: 11/18/2019
- Last Update Date: 11/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 9335572130
- Enrollment ID: I20191210000638
Medical Identifiers
Medical identifiers for Nicole Jenkins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265077986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 118064 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cerda Pediatric And Neuro Physical Therapy Pllc | 9638513252 | 2 |
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 Jenkins allows following entities to bill medicare on her behalf.
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1952531154
PECOS PAC ID: 6507832573
Enrollment ID: O20160330000839 |
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| Provider Name | Cerda Pediatric & Neuro Physical Therapy Pllc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1801664073
PECOS PAC ID: 9638513252
Enrollment ID: O20240221003932 |
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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 Jenkins 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 |
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Nicole Jenkins, OTR
715 Church Street,
Bluff Dale, TX 76433
Ph: (209) 840-4155 | Nicole Jenkins, OTR
715 Church Street,
Bluff Dale, TX 76433
Ph: (209) 840-4155 |
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