Keelin Jane Nickerson, OTR/L - Medicare Occupational Therapist in Durango, CO

Keelin Jane Nickerson, OTR/L is a medicare enrolled "Occupational Therapist" provider in Durango, Colorado. Her current practice location is 575 Rivergate Ln Unit 108, Durango, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 247-7711.

Keelin Jane Nickerson is licensed to practice in Colorado (license number OT.0007626) 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 1538883590.

Contact Information

Keelin Jane Nickerson, OTR/L
575 Rivergate Ln Unit 108,
Durango, CO 81301-7490
(970) 247-7711
Not Available



Healthcare Provider's Profile

Full NameKeelin Jane Nickerson
GenderFemale
SpecialityOccupational Therapist
Location575 Rivergate Ln Unit 108, Durango, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538883590
  • Provider Enumeration Date: 10/03/2022
  • Last Update Date: 10/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6103293345
  • Enrollment ID: I20221101002307

Medical Identifiers

Medical identifiers for Keelin Jane Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538883590NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT.0007626 (Colorado)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. Keelin Jane Nickerson allows following entities to bill medicare on her behalf.
Provider NameSan Juan Hand Therapy Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1952471856
PECOS PAC ID: 8628050010
Enrollment ID: O20040601000734

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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. Keelin Jane Nickerson 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
Keelin Jane Nickerson, OTR/L
575 Rivergate Ln Unit 108,
Durango, CO 81301-7490

Ph: () -
Keelin Jane Nickerson, OTR/L
575 Rivergate Ln Unit 108,
Durango, CO 81301-7490

Ph: (970) 247-7711

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Occupational Therapist in Durango, CO

Melissa Miller, MOT, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 201 E 12th St, Durango, CO 81301
Phone: 970-247-5411    
Elizabeth Guilfoyle, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 701 Camino Del Rio Ste 221, Durango, CO 81301
Phone: 970-247-3261    
Elizabeth Blair Ruder, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 701 Camino Del Rio Ste 221, Durango, CO 81301
Phone: 970-247-3261    
Ivy Lau,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 28 Salt Brush St, Durango, CO 81301
Phone: 970-880-0090    
Robyn Kellogg, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 125 Ryler Dr, Durango, CO 81301
Phone: 970-769-0397    
Tonya Jividen Ebert,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 25 Sunshine Ct, Durango, CO 81301
Phone: 970-375-1580    
Angela Marie Howell, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 450 S Camino Del Rio Ste 102, Durango, CO 81301
Phone: 303-842-3850    Fax: 970-459-3143

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