Nicole Mickendrow, in Middletown, NJ - Medicare Physical Therapist Provider

Nicole Mickendrow, is a medicare enrolled "Physical Therapist" provider in Middletown, New Jersey. Her current practice location is 798 State Route 35, Middletown, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 533-5741.

Nicole Mickendrow is licensed to practice in New Jersey (license number 40QA02174900) 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 1811680317.

Contact Information

	Nicole Mickendrow,
	798 State Route 35, Middletown, NJ 07748-3410
	(732) 533-5741
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Mickendrow
Gender	Female
Speciality	Physical Therapist
Location	798 State Route 35, Middletown, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811680317
Provider Enumeration Date: 05/31/2023
Last Update Date: 05/31/2023

Medicare PECOS Information:

PECOS PAC ID: 6608234166
Enrollment ID: I20230615002357

Medical Identifiers

Medical identifiers for Nicole Mickendrow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811680317	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA02174900 (New Jersey)	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 Mickendrow allows following entities to bill medicare on her behalf.

Provider Name	Procare Rehabilitation, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1134175730 PECOS PAC ID: 7214998038 Enrollment ID: O20041025000372

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 Mickendrow 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
Nicole Mickendrow, 4 Walter E Foran Blvd Ste 203, Flemington, NJ 08822-4666 Ph: () -	Nicole Mickendrow, 798 State Route 35, Middletown, NJ 07748-3410 Ph: (732) 533-5741

Reviews and Comments

Physical Therapist in Middletown, NJ

Evolve Physical Therapy And Wellness Center Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 41 Pate Dr, Middletown, NJ 07748 Phone: 908-812-4643
Dr. Jessica Brooke Golden, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 Arose Ln, Middletown, NJ 07748 Phone: 732-290-5185 Fax: 732-612-1410
Mr. Kenneth Micko, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 620 State Route 35, Middletown, NJ 07748 Phone: 732-671-9560
Peter Terilli, PT, DPT ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 268 Pelican Rd, Middletown, NJ 07748 Phone: 585-730-0913
Ms. Erika Weber, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1676 Highway 35, Middletown, NJ 07748 Phone: 732-533-5193 Fax: 732-451-3615
Mrs. Liliane Bittencourt Scafidi, P.T.,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 403 April Way, Middletown, NJ 07748 Phone: 774-488-9513
Joint Physical Therapy And Sports Medicine Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 40 Old Country Rd, Middletown, NJ 07748 Phone: 908-670-0861

Nicole Mickendrow, - Medicare Physical Therapist in Middletown, NJ