Samuel Martin Nicholas, DPT in Oregon City, OR - Medicare Physical Therapist In Private Practice Provider

Samuel Martin Nicholas, DPT is a medicare enrolled "Physical Therapist" provider in Oregon City, Oregon. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Kjb Consulting Corporation and his current practice location is 1630 Beavercreek Rd, Oregon City, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 607-0047.

Samuel Martin Nicholas is licensed to practice in Oregon (license number 63810) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1730785650.

Contact Information

	Samuel Martin Nicholas, DPT
	1630 Beavercreek Rd, Oregon City, OR 97045-4156
	(503) 607-0047
	(503) 607-0051

Map and Direction

Healthcare Provider's Profile

Full Name	Samuel Martin Nicholas
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	6 Years
Location	1630 Beavercreek Rd, Oregon City, Oregon
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samuel Martin Nicholas graduated from medical school in 2020

NPI Data:

NPI Number: 1730785650
Provider Enumeration Date: 12/07/2020
Last Update Date: 12/07/2020

Medicare PECOS Information:

PECOS PAC ID: 1254743198
Enrollment ID: I20210105000641

Medical Identifiers

Medical identifiers for Samuel Martin Nicholas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730785650	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	CP0003840T (Washington)	Secondary
225100000X	Physical Therapist	63810 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kjb Consulting Corporation	1759504590	16

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. Samuel Martin Nicholas allows following entities to bill medicare on his behalf.

Provider Name	Kjb Consulting Corporation
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1497172373 PECOS PAC ID: 1759504590 Enrollment ID: O20140522001817

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. Samuel Martin Nicholas 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
Samuel Martin Nicholas, DPT Po Box 578, Troutdale, OR 97060-0578 Ph: (503) 489-1174	Samuel Martin Nicholas, DPT 1630 Beavercreek Rd, Oregon City, OR 97045-4156 Ph: (503) 607-0047

Reviews and Comments

Physical Therapist in Oregon City, OR

Charlo Brandon Crumpacker, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1424 Molalla Ave, Oregon City, OR 97045 Phone: 503-744-4916
Active Edge Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19727 South Highway 213, Oregon City, OR 97045 Phone: 503-387-5449 Fax: 503-342-6846
Brian Bartelli, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1715 Beavercreek Rd, Oregon City, OR 97045 Phone: 503-657-8553
Jessica Lumba, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1424 Molalla Ave, Oregon City, OR 97045 Phone: 503-744-4916
Lori A Perry, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Division St, Oregon City, OR 97045 Phone: 971-206-2486
Angela Hastin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1511 Division St, Oregon City, OR 97045 Phone: 503-657-6747
John Irwin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1511 Division St Ste 201a, Oregon City, OR 97045 Phone: 503-657-6747

Samuel Martin Nicholas, DPT - Medicare Physical Therapist in Oregon City, OR