Nicole Marie Desouchet, DPT - Medicare Physical Therapist in Bloomfield, NM

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Nicole Marie Desouchet, DPT is a medicare enrolled "Physical Therapist" provider in Bloomfield, New Mexico. Her current practice location is 204a W Broadway Ave, Bloomfield, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 333-7217.

Nicole Marie Desouchet is licensed to practice in New Mexico (license number PT5349) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447739156.

Contact Information

Nicole Marie Desouchet, DPT
204a W Broadway Ave,
Bloomfield, NM 87413-5903
(505) 333-7217
(505) 333-7096

Map and Direction




Healthcare Provider's Profile

Full NameNicole Marie Desouchet
GenderFemale
SpecialityPhysical Therapist
Location204a W Broadway Ave, Bloomfield, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447739156
  • Provider Enumeration Date: 08/13/2018
  • Last Update Date: 10/25/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5991059388
  • Enrollment ID: I20181206001219

Medical Identifiers

Medical identifiers for Nicole Marie Desouchet such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447739156NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT5349 (New Mexico)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. Nicole Marie Desouchet allows following entities to bill medicare on her behalf.
Provider NameAdvantage Physical Therapy & Wellness, Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1790850824
PECOS PAC ID: 1052399649
Enrollment ID: O20040709001298
Provider NameRocky Mountain Physical Therapy, Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1790013001
PECOS PAC ID: 6901947647
Enrollment ID: O20190731002929

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. Nicole Marie Desouchet 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 AddressPractice Location Address
Nicole Marie Desouchet, DPT
204a W Broadway Ave,
Bloomfield, NM 87413-5903

Ph: (505) 333-7217		Nicole Marie Desouchet, DPT
204a W Broadway Ave,
Bloomfield, NM 87413-5903

Ph: (505) 333-7217

Reviews and Comments


Physical Therapist in Bloomfield, NM

Victoria D. Coe, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 325 N Bergin Ln, Bloomfield, NM 87413
Phone: 505-634-3619    Fax: 505-634-3675
Michael Kurita,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 204a W Broadway Ave, Bloomfield, NM 87413
Phone: 505-333-7217    
Mrs. Jere Nell Tyler, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 82 Road 5151, Bloomfield, NM 87413
Phone: 505-330-9884    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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