Nicole M Iwanowski, OTR/L, CLT in Kenosha, WI - Medicare Occupational Therapy Provider

Nicole M Iwanowski, OTR/L, CLT is a medicare enrolled "Occupational Therapist" provider in Kenosha, Wisconsin. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Midwest Orthopedic Specialty Hospital Llc, Advantage Physical Therapy And Sports Rehab, Llc and her current practice location is 10222 74th St, Suite 211, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 925-5020.

Nicole M Iwanowski is licensed to practice in Wisconsin (license number 4230026) 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 1295844603.

Contact Information

	Nicole M Iwanowski, OTR/L, CLT
	10222 74th St, Suite 211, Kenosha, WI 53142-6810
	(262) 925-5020
	(262) 925-5021

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole M Iwanowski
Gender	Female
Speciality	Occupational Therapy
Experience	20 Years
Location	10222 74th St, Kenosha, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole M Iwanowski graduated from medical school in 2004

NPI Data:

NPI Number: 1295844603
Provider Enumeration Date: 08/30/2006
Last Update Date: 10/19/2017

Medicare PECOS Information:

PECOS PAC ID: 5799731667
Enrollment ID: I20050323001024

Medical Identifiers

Medical identifiers for Nicole M Iwanowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295844603	NPI	-	NPPES
11781771	Other	WI	CAQH
1295844603	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	4230026 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Orthopedic Specialty Hospital Llc	7113078833	32
Advantage Physical Therapy And Sports Rehab, Llc	8022016336	23

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 M Iwanowski allows following entities to bill medicare on her behalf.

Provider Name	Advantage Physical Therapy & Sports Rehab, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881773463 PECOS PAC ID: 8022016336 Enrollment ID: O20061121000412

Provider Name	Midwest Orthopedic Specialty Hospital Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275127375 PECOS PAC ID: 7113078833 Enrollment ID: O20210317001381

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 M Iwanowski 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 M Iwanowski, OTR/L, CLT 600 52nd St, Suite 240, Kenosha, WI 53140-3423 Ph: (262) 925-5004	Nicole M Iwanowski, OTR/L, CLT 10222 74th St, Suite 211, Kenosha, WI 53142-6810 Ph: (262) 925-5020

Reviews and Comments

Occupational Therapist in Kenosha, WI

Richa Kamble, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5060 Green Bay Rd, Kenosha, WI 53144 Phone: 262-825-0912
Lacy Nowicki, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10222 74th St Ste 211, Kenosha, WI 53142 Phone: 262-925-5020
Ana Jones, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1406 91st St Apt 103, Kenosha, WI 53143 Phone: 262-331-3414
Ms. Jane E Meyers, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4103 60th St, Kenosha, WI 53144 Phone: 262-652-1111 Fax: 262-652-1124
Rachel Lauren Cole, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3100 Washington Rd, Kenosha, WI 53144 Phone: 248-930-4737
Mrs. Silvana K Leone, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-3299
Mrs. Jill Marie Fonk, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3100 Washington Rd, Kenosha, WI 53144 Phone: 262-658-4074

Nicole M Iwanowski, OTR/L, CLT - Medicare Occupational Therapist in Kenosha, WI