Nicklaus Ingman, PT, DPT in Placerville, CA - Medicare Physical Therapist Provider

Nicklaus Ingman, PT, DPT is a medicare enrolled "Physical Therapist" provider in Placerville, California. His current practice location is 5168 Honpie Rd, Placerville, California. You can reach out to his office (for appointments etc.) via phone at (530) 387-4928.

Nicklaus Ingman is licensed to practice in California (license number 297087) 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 1427605948.

Contact Information

	Nicklaus Ingman, PT, DPT
	5168 Honpie Rd, Placerville, CA 95667-8682
	(530) 387-4928
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicklaus Ingman
Gender	Male
Speciality	Physical Therapist
Location	5168 Honpie Rd, Placerville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427605948
Provider Enumeration Date: 08/20/2019
Last Update Date: 08/20/2024

Medicare PECOS Information:

PECOS PAC ID: 7113351024
Enrollment ID: I20200102002413

Medical Identifiers

Medical identifiers for Nicklaus Ingman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427605948	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	297087 (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. Nicklaus Ingman allows following entities to bill medicare on his behalf.

Provider Name	Shingle Springs Rancheria
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1245356674 PECOS PAC ID: 6002863271 Enrollment ID: O20050331000617

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. Nicklaus Ingman 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
Nicklaus Ingman, PT, DPT Po Box 1340, Shingle Springs, CA 95682-1340 Ph: (530) 387-4928	Nicklaus Ingman, PT, DPT 5168 Honpie Rd, Placerville, CA 95667-8682 Ph: (530) 387-4928

Reviews and Comments

Physical Therapist in Placerville, CA

Chet R Yoder, MPT DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5798 Hollyberry Ln, Placerville, CA 95667 Phone: 209-273-9844
Malini Parthasarathi, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1252 Broadway Ste B, Placerville, CA 95667 Phone: 530-622-9410 Fax: 530-622-9445
Mr. Ronald Eugene Thompson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4300 Golden Center Dr, Suite B, Placerville, CA 95667 Phone: 530-344-2045 Fax: 530-642-0794
Dr. Anna Galloway, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1252 Broadway, Suite B, Placerville, CA 95667 Phone: 530-622-9410
Jennifer Marie Joy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4301 Golden Center Dr, Placerville, CA 95667 Phone: 530-621-1100 Fax: 530-621-1104
Jason Hubbart, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1252 Broadway Ste B, Placerville, CA 95667 Phone: 530-622-9410
Mr. William Harrison White, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1980 Broadway, Placerville, CA 95667 Phone: 530-622-3536 Fax: 530-622-3538

Nicklaus Ingman, PT, DPT - Medicare Physical Therapist in Placerville, CA