| Nicole J Chine, PT | |
|
1599 J St, Grand Forks Afb, ND 58205-6306 | |
| (701) 747-5555 | |
| Not Available |
| Full Name | Nicole J Chine |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 23 Years |
| Location | 1599 J St, Grand Forks Afb, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548370752 | NPI | - | NPPES |
| 64-06759 | Other | MEDICA | |
| 253467000 | Medicaid | MN | |
| 51268 | Medicaid | ND | |
| 79G99CH | Other | BLUE CROSS/BLUE SHIELD MN | |
| B17461047855 | Other | PREFERRED ONE | |
| 27383 | Other | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1317 (North Dakota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Achieve Therapy Llc | 6608762836 | 10 |
| Achieve Therapy Llc | 6608762836 | 10 |
| Provider Name | Achieve Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013009232 PECOS PAC ID: 6608762836 Enrollment ID: O20040225000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole J Chine, PT 1599 J St, Grand Forks Afb, ND 58205-6306 Ph: (701) 747-5555 | Nicole J Chine, PT 1599 J St, Grand Forks Afb, ND 58205-6306 Ph: (701) 747-5555 |
Mrs. Kathleen Andrea Brehm-heitman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1402 Spruce Dr, Grand Forks Afb, ND 58204 Phone: 701-747-5555 | |
Romi Abouzedan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1599 J St, Grand Forks Afb, ND 58205 Phone: 701-747-5547 | |
Benjamin Lofgren, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1599 Jones Street, Grand Forks Afb, ND 58205 Phone: 701-747-5547 |