Mrs Jennifer Nicodemo-capra, MA, PT in Coram, NY - Medicare Physical Therapy Provider

Mrs Jennifer Nicodemo-capra, MA, PT is a medicare enrolled "Physical Therapist" provider in Coram, New York. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Physical Therapy. Her current practice location is 2 Walton Way, Lighthouse Physical Therapy, P.c., Coram, New York. You can reach out to her office (for appointments etc.) via phone at (631) 440-7678.

Mrs Jennifer Nicodemo-capra is licensed to practice in New York (license number 015513) 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 1609922145.

Contact Information

	Mrs Jennifer Nicodemo-capra, MA, PT
	2 Walton Way, Lighthouse Physical Therapy, P.c., Coram, NY 11727-1001
	(631) 440-7678
	(631) 331-0320

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jennifer Nicodemo-capra
Gender	Female
Speciality	Physical Therapy
Experience	29 Years
Location	2 Walton Way, Coram, New York
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:

Mrs Jennifer Nicodemo-capra graduated from medical school in 1995

NPI Data:

NPI Number: 1609922145
Provider Enumeration Date: 01/26/2007
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7517125164
Enrollment ID: I20120228000700

Medical Identifiers

Medical identifiers for Mrs Jennifer Nicodemo-capra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609922145	NPI	-	NPPES
02486193	Medicaid	NY
A100063588	Other	NY	MEDICARE GROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	015513-1 (New York)	Secondary
225100000X	Physical Therapist	015513 (New York)	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. Mrs Jennifer Nicodemo-capra allows following entities to bill medicare on her behalf.

Provider Name	Lighthouse Physical Therapy, P.c.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1265718332 PECOS PAC ID: 6507024254 Enrollment ID: O20120227000315

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. Mrs Jennifer Nicodemo-capra 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
Mrs Jennifer Nicodemo-capra, MA, PT 2 Walton Way, Lighthouse Physical Therapy, P.c., Coram, NY 11727-1001 Ph: (631) 440-7678	Mrs Jennifer Nicodemo-capra, MA, PT 2 Walton Way, Lighthouse Physical Therapy, P.c., Coram, NY 11727-1001 Ph: (631) 440-7678

Reviews and Comments

Physical Therapist in Coram, NY

Mrs. Amy W Maragioglio, PT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 607 Middle Country Road, Coram, NY 11727 Phone: 631-732-3900 Fax: 631-732-3908
James Cutreal Phillips, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 607 Middle Country Rd, Coram, NY 11727 Phone: 631-732-3900
Tyler Roden, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 607 Middle Country Rd, Coram, NY 11727 Phone: 631-732-3900
Island Sports Physical Therapy Of Coram Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 607 Middle Country Road, Coram, NY 11727 Phone: 631-732-3900 Fax: 631-732-3900
Susan Neel Gilleeny Behrens, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 607 Middle Country Rd, Coram, NY 11727 Phone: 631-732-3900 Fax: 631-732-3908
Kathryn Laino, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 Wellsley Ln, Coram, NY 11727 Phone: 631-478-1885
John Joel Uy, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 22 Camp Fire Ln, Coram, NY 11727 Phone: 631-451-0225

Mrs Jennifer Nicodemo-capra, MA, PT - Medicare Physical Therapist in Coram, NY