Nicole Marie Struck, OT, MOT in De Pere, WI - Medicare Occupational Therapist Provider

Nicole Marie Struck, OT, MOT is a medicare enrolled "Occupational Therapist" provider in De Pere, Wisconsin. Her current practice location is 3852 Creamery Rd, De Pere, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 338-9670.

Nicole Marie Struck is licensed to practice in Minnesota (license number 106849) 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 1447759121.

Contact Information

	Nicole Marie Struck, OT, MOT
	3852 Creamery Rd, De Pere, WI 54115-9210
	(920) 338-9670
	(920) 338-9680

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Marie Struck
Gender	Female
Speciality	Occupational Therapist
Location	3852 Creamery Rd, De Pere, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447759121
Provider Enumeration Date: 02/07/2018
Last Update Date: 09/26/2025

Medicare PECOS Information:

PECOS PAC ID: 7416331673
Enrollment ID: I20250113001765

Medical Identifiers

Medical identifiers for Nicole Marie Struck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447759121	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	106849 (Minnesota)	Primary
225X00000X	Occupational Therapist	325644 (Wisconsin)	Secondary

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 Marie Struck allows following entities to bill medicare on her behalf.

Provider Name	Andrews Physical Therapy Sc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1487667192 PECOS PAC ID: 5092765214 Enrollment ID: O20050126000230

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 Marie Struck 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 Marie Struck, OT, MOT 200 1st St Sw, Rochester, MN 55905-0001 Ph: (920) 505-0074	Nicole Marie Struck, OT, MOT 3852 Creamery Rd, De Pere, WI 54115-9210 Ph: (920) 338-9670

Reviews and Comments

Occupational Therapist in De Pere, WI

Kathleen Phelps, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1142 Orlando Dr, De Pere, WI 54115 Phone: 920-339-0700 Fax: 920-330-0278
Molly Kafka, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1142 Orlando Dr, De Pere, WI 54115 Phone: 920-339-0700
Maggie M Larson, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1601 Lawrence Dr Ste 100, De Pere, WI 54115 Phone: 920-496-4700
Mrs. Melanie Sue Gonnering, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 S 9th St, De Pere, WI 54115 Phone: 920-338-4146
Full Circle Therapy And Wellness Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1325 S Broadway, De Pere, WI 54115 Phone: 920-321-8366
Carol Klak, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1142 Orlando Dr, De Pere, WI 54115 Phone: 920-339-0700 Fax: 920-330-0278
Alexandria Horn, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 S 9th St, De Pere, WI 54115 Phone: 920-336-5680

Nicole Marie Struck, OT, MOT - Medicare Occupational Therapist in De Pere, WI