Nicholas Smith, DPT in Wildomar, CA - Medicare Physical Therapist Provider

Nicholas Smith, DPT is a medicare enrolled "Physical Therapist" provider in Wildomar, California. His current practice location is 32246 Clinton Keith Rd Ste 103, Wildomar, California. You can reach out to his office (for appointments etc.) via phone at (951) 677-7221.

Nicholas Smith is licensed to practice in California (license number 305715) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477310787.

Contact Information

	Nicholas Smith, DPT
	32246 Clinton Keith Rd Ste 103, Wildomar, CA 92595-7320
	(951) 677-7221
	(951) 677-7331

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Smith
Gender	Male
Speciality	Physical Therapist
Location	32246 Clinton Keith Rd Ste 103, Wildomar, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477310787
Provider Enumeration Date: 03/04/2024
Last Update Date: 03/04/2024

Medicare PECOS Information:

PECOS PAC ID: 4587001862
Enrollment ID: I20240321003817

Medical Identifiers

Medical identifiers for Nicholas Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477310787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	305715 (California)	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. Nicholas Smith allows following entities to bill medicare on his behalf.

Provider Name	All Star Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1750559431 PECOS PAC ID: 7719030949 Enrollment ID: O20090812000451

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. Nicholas Smith 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
Nicholas Smith, DPT 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (951) 335-9825	Nicholas Smith, DPT 32246 Clinton Keith Rd Ste 103, Wildomar, CA 92595-7320 Ph: (951) 677-7221

Reviews and Comments

Physical Therapist in Wildomar, CA

Billi-jo Shirley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32246 Clinton Keith Rd Ste 103, Wildomar, CA 92595 Phone: 951-677-7221 Fax: 951-677-7331
Dr. Madalyn Jasper, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36485 Inland Valley Dr, Wildomar, CA 92595 Phone: 951-677-1111
Mrs. Diane Christine Senior, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36485 Inland Valley Drive, Wildomar, CA 92595 Phone: 951-696-2604 Fax: 951-677-9788
Barbara Ann Thomas, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25125 Clinton Keith Rd, Wildomar, CA 92595 Phone: 951-218-6787 Fax: 951-813-3899
Nathan J Lessard, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 32246 Clinton Keith Rd, Wildomar, CA 92595 Phone: 951-677-7221 Fax: 951-677-7331
Nasko Lubenov Atanassov, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36485 Inland Valey Drive, Wildomar, CA 92595 Phone: 951-696-2604

Nicholas Smith, DPT - Medicare Physical Therapist in Wildomar, CA