Shameem Nickel, PT is a medicare enrolled "Physical Therapist" provider in Madison, Georgia. Her current practice location is
1680 Eatonton Rd, Madison, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 342-1971.
Shameem Nickel is licensed to practice in Georgia (license number PT006722) 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 1578279915.
Healthcare Provider's Profile
Full Name | Shameem Nickel |
---|
Gender | Female |
---|
Speciality | Physical Therapist |
---|
Location | 1680 Eatonton Rd, Madison, Georgia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578279915
- Provider Enumeration Date: 01/30/2023
- Last Update Date: 01/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 5698138782
- Enrollment ID: I20230822002710
Medical Identifiers
Medical identifiers for Shameem Nickel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578279915 | NPI | - | NPPES |
05141975 | Other | | DATE OF BIRTH |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT006722 (Georgia) | 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. Shameem Nickel allows following entities to bill medicare on her behalf.
Provider Name | Functional Pathways Preferred Of Tennessee Llc |
---|
Provider Type | Part B Supplier - Clinic/group Practice |
---|
Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20150213001140 |
---|
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. Shameem Nickel 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 |
Shameem Nickel, PT 3224 Riverstone Dr, Augusta, GA 30907-9291 Ph: (706) 399-1909 | Shameem Nickel, PT 1680 Eatonton Rd, Madison, GA 30650-4628 Ph: (706) 342-1971 |
Reviews and Comments