Mrs Nicole Stacy Blacher, PT in San Diego, CA - Medicare Physical Therapy Provider

Mrs Nicole Stacy Blacher, PT is a medicare enrolled "Physical Therapist" provider in San Diego, California. She graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Institute For Specialized Medicine Inc and her current practice location is 11777 Sorrento Valley Rd, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 967-7701.

Mrs Nicole Stacy Blacher is licensed to practice in California (license number PT 18069) 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 1265602601.

Contact Information

	Mrs Nicole Stacy Blacher, PT
	11777 Sorrento Valley Rd, San Diego, CA 92121-1084
	(858) 967-7701
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nicole Stacy Blacher
Gender	Female
Speciality	Physical Therapy
Experience	34 Years
Location	11777 Sorrento Valley Rd, San Diego, California
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 Stacy Blacher graduated from medical school in 1990

NPI Data:

NPI Number: 1265602601
Provider Enumeration Date: 02/29/2008
Last Update Date: 02/05/2016

Medicare PECOS Information:

PECOS PAC ID: 7416252564
Enrollment ID: I20160226001427

Medical Identifiers

Medical identifiers for Mrs Nicole Stacy Blacher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265602601	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT 18069 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Institute For Specialized Medicine Inc	1254401375	2

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 Stacy Blacher allows following entities to bill medicare on her behalf.

Provider Name	Institute For Specialized Medicine Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881870566 PECOS PAC ID: 1254401375 Enrollment ID: O20080602000490

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 Stacy Blacher 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 Stacy Blacher, PT 4653 Carmel Mountain Rd, Ste 308-145, San Diego, CA 92130-6650 Ph: (858) 967-7701	Mrs Nicole Stacy Blacher, PT 11777 Sorrento Valley Rd, San Diego, CA 92121-1084 Ph: (858) 967-7701

Reviews and Comments

Physical Therapist in San Diego, CA

Carmen L Luk, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 Phone: 760-209-4868
Emily Richard, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3115 Ocean Front Walk, San Diego, CA 92109 Phone: 858-488-3597 Fax: 858-746-4041
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Sean S Mcintire, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4435 Eastgate Mall, #120, San Diego, CA 92121 Phone: 858-587-8669 Fax: 858-587-8675
Elena Hapke, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4094 4th Ave, San Diego, CA 92103 Phone: 619-515-2545
Jon Garrelts, Physical Therapist Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7189
Mrs. Linda Reid Holland, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3350 La Jolla Village Dr, San Diego, CA 92161 Phone: 858-552-7487

Mrs Nicole Stacy Blacher, PT - Medicare Physical Therapist in San Diego, CA