Nicole L Oberholtzer, PT, DPT in Wyoming, MI - Medicare Physical Therapist In Private Practice Provider

Nicole L Oberholtzer, PT, DPT is a medicare enrolled "Physical Therapist" provider in Wyoming, Michigan. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Presidio Sport And Medicine, Inc. and her current practice location is 5570 Wilson Ave Sw Ste A, Wyoming, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 855-1495.

Nicole L Oberholtzer is licensed to practice in Michigan (license number 5501017877) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639625601.

Contact Information

	Nicole L Oberholtzer, PT, DPT
	5570 Wilson Ave Sw Ste A, Wyoming, MI 49418-8867
	(616) 855-1495
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole L Oberholtzer
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	9 Years
Location	5570 Wilson Ave Sw Ste A, Wyoming, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole L Oberholtzer graduated from medical school in 2016

NPI Data:

NPI Number: 1639625601
Provider Enumeration Date: 08/30/2016
Last Update Date: 11/14/2022

Medicare PECOS Information:

PECOS PAC ID: 5092081406
Enrollment ID: I20221115001616

Medical Identifiers

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

Identifier	Type	State	Issuer
1639625601	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501017877 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Presidio Sport And Medicine, Inc.	2466447651	15

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 L Oberholtzer allows following entities to bill medicare on her behalf.

Provider Name	Presidio Sport & Medicine, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578565149 PECOS PAC ID: 2466447651 Enrollment ID: O20040416001428

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 L Oberholtzer 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 L Oberholtzer, PT, DPT 1162b Gorgas Ave, San Francisco, CA 94129-1406 Ph: (415) 561-6655	Nicole L Oberholtzer, PT, DPT 5570 Wilson Ave Sw Ste A, Wyoming, MI 49418-8867 Ph: (616) 855-1495

Reviews and Comments

Physical Therapist in Wyoming, MI

Mrs. Julie Ann Honeycutt, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2780 Gullmont Dr Sw, Wyoming, MI 49418 Phone: 616-538-9709 Fax: 616-538-9709
Connie Posigian, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5838 Metro Way Sw, Physical Therapy Dept, Wyoming, MI 49519 Phone: 616-249-5300
Sarah Ayotte, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1621 44th St Sw, Suite 300, Wyoming, MI 49509 Phone: 616-949-3538 Fax: 616-840-9697
Ms. Mindy Lee Matt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7199
Pamela Newcomb Vaughn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-5014
Mr. Mark Alan Carey, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5570 Wilson Ave Sw, Suite A, Wyoming, MI 49418 Phone: 616-855-1495 Fax: 616-855-1496
Dorothy Ann Mccune, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7199

Nicole L Oberholtzer, PT, DPT - Medicare Physical Therapist in Wyoming, MI