Nicole Elledge, OTR in Lake Oswego, OR - Medicare Occupational Therapy Provider

Nicole Elledge, OTR is a medicare enrolled "Occupational Therapist" provider in Lake Oswego, Oregon. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Premere Rehab Llc and her current practice location is 3900 Kruse Way Pl, Lake Oswego, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 607-0566.

Nicole Elledge is licensed to practice in Oregon (license number 1060547) 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 1003075417.

Contact Information

	Nicole Elledge, OTR
	3900 Kruse Way Pl, Lake Oswego, OR 97035-2512
	(503) 607-0566
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Elledge
Gender	Female
Speciality	Occupational Therapy
Experience	22 Years
Location	3900 Kruse Way Pl, Lake Oswego, Oregon
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 Elledge graduated from medical school in 2002

NPI Data:

NPI Number: 1003075417
Provider Enumeration Date: 06/02/2008
Last Update Date: 05/06/2022

Medicare PECOS Information:

PECOS PAC ID: 8820241805
Enrollment ID: I20121227000471

Medical Identifiers

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

Identifier	Type	State	Issuer
1003075417	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	1060547 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premere Rehab Llc	2567434764	88

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 Elledge allows following entities to bill medicare on her behalf.

Provider Name	Premere Rehab Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467767269 PECOS PAC ID: 2567434764 Enrollment ID: O20110105000915

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 Elledge 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 Elledge, OTR 23532 Sw Stonehaven St, Sherwood, OR 97140-7076 Ph: (971) 732-2991	Nicole Elledge, OTR 3900 Kruse Way Pl, Lake Oswego, OR 97035-2512 Ph: (503) 607-0566

Reviews and Comments

Occupational Therapist in Lake Oswego, OR

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Dona D Johnson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 Overlook Dr, Lake Oswego, OR 97034 Phone: 503-636-4589
Cedar Childrens Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 S State St Ste V341, Lake Oswego, OR 97034 Phone: 425-681-2131

Nicole Elledge, OTR - Medicare Occupational Therapist in Lake Oswego, OR