Nicole White, - Medicare Occupational Therapist in Port Jefferson, NY

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Nicole White, is a medicare enrolled "Occupational Therapist" provider in Port Jefferson, New York. Her current practice location is 70 N Country Rd Ste 103, Port Jefferson, New York. You can reach out to her office (for appointments etc.) via phone at (631) 938-1565.

Nicole White is licensed to practice in New York (license number 027206) 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 1114642022.

Contact Information

Nicole White,
70 N Country Rd Ste 103,
Port Jefferson, NY 11777-2161
(631) 938-1565
(321) 865-1179

Map and Direction




Healthcare Provider's Profile

Full NameNicole White
GenderFemale
SpecialityOccupational Therapist
Location70 N Country Rd Ste 103, Port Jefferson, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114642022
  • Provider Enumeration Date: 10/04/2022
  • Last Update Date: 10/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6103294947
  • Enrollment ID: I20221129000297

Medical Identifiers

Medical identifiers for Nicole White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114642022NPI-NPPES
1487104261OtherNYPROFESSIONAL OCCUPATIONAL PHYSICAL THERAPY, PLLC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 027206 (New York)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 White allows following entities to bill medicare on her behalf.
Provider NameSports Physical Therapy Occupational Therapy And Rehabilitation Servic
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1770540593
PECOS PAC ID: 0446140446
Enrollment ID: O20040315001603
Provider NameProfessional Occupational & Physical Therapy Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1205296902
PECOS PAC ID: 3779873401
Enrollment ID: O20160608000715

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 White 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 White,
576 Broadhollow Rd,
Melville, NY 11747-5002

Ph: (631) 359-5859		Nicole White,
70 N Country Rd Ste 103,
Port Jefferson, NY 11777-2161

Ph: (631) 938-1565

Reviews and Comments


Occupational Therapist in Port Jefferson, NY

Ronni Marangoni,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777
Phone: 631-474-6267    Fax: 631-476-7715
Matthew R Franco, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 5 Avon Dr, Port Jefferson, NY 11777
Phone: 631-828-6583    
Ms. Danielle Perugini, MOT, OTRL
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777
Phone: 631-474-6000    
Matthew Franco O.t.p.c.
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5 Avon Dr, Port Jefferson, NY 11777
Phone: 631-828-0831    
Justine Morgan, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777
Phone: 631-474-6000    
Mrs. Loretta D Brady, OTR L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5225 Nesconset Hwy, Suite 30 New York Therapy Placement Services Inc, Port Jefferson, NY 11776
Phone: 631-473-4284    Fax: 631-331-2204

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.