Brooke Renee Nicholson, DPT, PT in Lake Stevens, WA - Medicare Physical Therapist Provider

Brooke Renee Nicholson, DPT, PT is a medicare enrolled "Physical Therapist" provider in Lake Stevens, Washington. Her current practice location is 1109 Frontier Cir E Ste B, Lake Stevens, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 609-8075.

Brooke Renee Nicholson is licensed to practice in Washington (license number PT61610267) 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 1639996838.

Contact Information

	Brooke Renee Nicholson, DPT, PT
	1109 Frontier Cir E Ste B, Lake Stevens, WA 98258-3442
	(425) 609-8075
	(425) 947-5928

Map and Direction

Healthcare Provider's Profile

Full Name	Brooke Renee Nicholson
Gender	Female
Speciality	Physical Therapist
Location	1109 Frontier Cir E Ste B, Lake Stevens, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639996838
Provider Enumeration Date: 09/20/2024
Last Update Date: 11/11/2024

Medicare PECOS Information:

PECOS PAC ID: 3870028616
Enrollment ID: I20241203001365

Medical Identifiers

Medical identifiers for Brooke Renee Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639996838	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT61610267 (Washington)	Primary

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. Brooke Renee Nicholson allows following entities to bill medicare on her behalf.

Provider Name	Everett Physical Therapy And Sport Performance Center Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699713370 PECOS PAC ID: 3779475181 Enrollment ID: O20040329000985

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. Brooke Renee Nicholson 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
Brooke Renee Nicholson, DPT, PT 1300 W Sam Houston Pkwy S Ste 300, Houston, TX 77042-2453 Ph: (425) 609-8075	Brooke Renee Nicholson, DPT, PT 1109 Frontier Cir E Ste B, Lake Stevens, WA 98258-3442 Ph: (425) 609-8075

Reviews and Comments

Physical Therapist in Lake Stevens, WA

Alexia Thomas, Physical Therapist Medicare: Medicare Enrolled Practice Location: 925 Frontier Cir E Ste 100, Lake Stevens, WA 98258 Phone: 425-377-1290
Thomas Gray, Physical Therapist Medicare: Medicare Enrolled Practice Location: 925 Frontier Cir E Ste 100, Lake Stevens, WA 98258 Phone: 425-377-1290
Michaela Adams, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9514 4th St Ne Unit 101, Lake Stevens, WA 98258 Phone: 425-397-2327
Rommel Lacson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2424 104th Ave Se, Lake Stevens, WA 98258 Phone: 425-280-7578
Summit Rehabilitation Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 9514 4th St Ne Unit 101, Lake Stevens, WA 98258 Phone: 425-389-4860
Teagan Melise Carter, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9514 4th St Ne Unit 101, Lake Stevens, WA 98258 Phone: 425-377-0283
Calen Shula, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1819 S Lake Stevens Rd, Ste E, Lake Stevens, WA 98258 Phone: 425-334-1122 Fax: 425-334-1188

Brooke Renee Nicholson, DPT, PT - Medicare Physical Therapist in Lake Stevens, WA