Tamara A Nicksic, PT in Saint John, IN - Medicare Physical Therapy Provider

Tamara A Nicksic, PT is a medicare enrolled "Physical Therapist" provider in Saint John, Indiana. She went to Northwestern University Feinberg Medical School and graduated in 1988 and has 36 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Lakeshore Bone And Joint Institute, Pc. and her current practice location is 8259 Wicker Ave, Saint John, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 365-6560.

Tamara A Nicksic is licensed to practice in Indiana (license number 05002433A) 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 1649479544.

Contact Information

	Tamara A Nicksic, PT
	8259 Wicker Ave, Saint John, IN 46373-8878
	(219) 365-6560
	(219) 365-6561

Map and Direction

Healthcare Provider's Profile

Full Name	Tamara A Nicksic
Gender	Female
Speciality	Physical Therapy
Experience	36 Years
Location	8259 Wicker Ave, Saint John, Indiana
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:

Tamara A Nicksic attended and graduated from Northwestern University Feinberg Medical School in 1988

NPI Data:

NPI Number: 1649479544
Provider Enumeration Date: 07/12/2007
Last Update Date: 11/08/2018

Medicare PECOS Information:

PECOS PAC ID: 6709168305
Enrollment ID: I20170113002321

Medical Identifiers

Medical identifiers for Tamara A Nicksic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649479544	NPI	-	NPPES
05002433A	Other	IN	LPT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	05002433A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakeshore Bone And Joint Institute, Pc.	3173500519	71

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. Tamara A Nicksic allows following entities to bill medicare on her behalf.

Provider Name	Lakeshore Bone & Joint Institute, Pc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1508853953 PECOS PAC ID: 3173500519 Enrollment ID: O20040702000362

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. Tamara A Nicksic 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
Tamara A Nicksic, PT 2203 Wynnewood Dr, Valparaiso, IN 46385-2828 Ph: (219) 789-5865	Tamara A Nicksic, PT 8259 Wicker Ave, Saint John, IN 46373-8878 Ph: (219) 365-6560

Reviews and Comments

Physical Therapist in Saint John, IN

Kelli Driscoll, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10700 Park Pl, Saint John, IN 46373 Phone: 219-247-6459
Joshua Dejong, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10200 Wicker Ave Ste 1, Saint John, IN 46373 Phone: 219-924-3300 Fax: 219-924-3300
Dr. Latrese Smith-wynn, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-226-2326 Fax: 219-226-2327
Athletico Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10081 Wicker Ave #4, Saint John, IN 46373 Phone: 219-627-6445 Fax: 219-351-1803
Trademark Performance Corporation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9145 W 103rd St, Saint John, IN 46373 Phone: 517-425-2882
Michele Kaluf, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-226-2326
Leap Rehabilitation And Sports Medicine Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8261 Wicker Ave, Saint John, IN 46373 Phone: 219-365-1133 Fax: 219-365-7703

Tamara A Nicksic, PT - Medicare Physical Therapist in Saint John, IN