Nicole Patrice Vine-braun, is a
Occupational Therapist - Gerontology based in New Carlisle, Indiana. Nicole Patrice Vine-braun is licensed to practice in Indiana (license number 31003762A) and her current practice location is
31869 Chicago Trl, New Carlisle, Indiana. She can be reached at her office (for appointments etc.) via phone at
(574) 654-2266.
NPI number for Nicole Patrice Vine-braun is 1831978030 and her current mailing address is 33927 Prairie Edge Dr, New Carlisle, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831978030.
Healthcare Provider's Profile
| Full Name | Nicole Patrice Vine-braun |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist - Gerontology |
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| Location | 31869 Chicago Trl, New Carlisle, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831978030
- Provider Enumeration Date: 09/26/2023
- Last Update Date: 09/26/2023
Medical Identifiers
Medical identifiers for Nicole Patrice Vine-braun such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831978030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225XN1300X | Occupational Therapist - Neurorehabilitation | 31003762A (Indiana) | Secondary |
| 225XE0001X | Occupational Therapist - Environmental Modification | 31003762A (Indiana) | Secondary |
| 225XG0600X | Occupational Therapist - Gerontology | 31003762A (Indiana) | Primary |
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 Patrice Vine-braun is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Nicole Patrice Vine-braun, 33927 Prairie Edge Dr, New Carlisle, IN 46552-8253 Ph: (317) 408-2020 | Nicole Patrice Vine-braun, 31869 Chicago Trl, New Carlisle, IN 46552-9639 Ph: (574) 654-2266 |
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