Mrs Nicole D Bristow, PT, DPT in Jackson, MI - Medicare Physical Therapy Provider

Mrs Nicole D Bristow, PT, DPT is a medicare enrolled "Physical Therapist" provider in Jackson, Michigan. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Athletico Ltd and her current practice location is 1201 E Michigan Ave Ste 300, Jackson, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 205-7633.

Mrs Nicole D Bristow is licensed to practice in Michigan (license number 5501015343) 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 1669964243.

Contact Information

	Mrs Nicole D Bristow, PT, DPT
	1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853
	(517) 205-7633
	(517) 205-7634

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nicole D Bristow
Gender	Female
Speciality	Physical Therapy
Experience	14 Years
Location	1201 E Michigan Ave Ste 300, Jackson, Michigan
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 Nicole D Bristow graduated from medical school in 2010

NPI Data:

NPI Number: 1669964243
Provider Enumeration Date: 05/31/2018
Last Update Date: 05/31/2018

Medicare PECOS Information:

PECOS PAC ID: 7214326909
Enrollment ID: I20211118001740

Medical Identifiers

Medical identifiers for Mrs Nicole D Bristow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669964243	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501015343 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Athletico Ltd	4789602681	1957

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 Nicole D Bristow allows following entities to bill medicare on her behalf.

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20191218001701

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 Nicole D Bristow 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 Nicole D Bristow, PT, DPT 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853 Ph: (517) 205-7633	Mrs Nicole D Bristow, PT, DPT 1201 E Michigan Ave Ste 300, Jackson, MI 49201-1853 Ph: (517) 205-7633

Reviews and Comments

Physical Therapist in Jackson, MI

Kathleen Zager-doxey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5025 Ann Arbor Rd, Jackson, MI 49201 Phone: 517-879-1505
Sydney K Hooks, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2973 Springport Rd, Jackson, MI 49201 Phone: 517-435-3461 Fax: 517-768-9951
Jerome C Malone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 Page Ave, Jackson, MI 49201 Phone: 517-783-6670 Fax: 517-783-5310
Ms. Cheryl Kennedy-reul, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 Brooklyn Rd Ste B, Jackson, MI 49201 Phone: 517-536-7442 Fax: 517-536-7439
Robin Lynn Webster, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2151 Ferguson Rd, Suite 101, Jackson, MI 49203 Phone: 517-748-7747 Fax: 517-748-7745
Dillon Ommodt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2136 Robinson Rd Ste 1, Jackson, MI 49203 Phone: 517-750-2540 Fax: 517-750-2044
Ghanshyambhai K Gadhiya, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 766 W Michigan Ave, Jackson, MI 49201 Phone: 517-796-8200

Mrs Nicole D Bristow, PT, DPT - Medicare Physical Therapist in Jackson, MI