Kristie Nickerson, MS OTR/L - Medicare Occupational Therapist in Orangeburg, SC

Kristie Nickerson, MS OTR/L is a medicare enrolled "Occupational Therapist" provider in Orangeburg, South Carolina. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Southern Lakes Therapy Llc and her current practice location is 119 Office Park Dr, Orangeburg, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 536-5509.

Kristie Nickerson is licensed to practice in South Carolina (license number 4040) 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 1851773071.

Contact Information

Kristie Nickerson, MS OTR/L
119 Office Park Dr,
Orangeburg, SC 29118-2407
(803) 536-5509
Not Available



Healthcare Provider's Profile

Full NameKristie Nickerson
GenderFemale
SpecialityOccupational Therapy
Experience12 Years
Location119 Office Park Dr, Orangeburg, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristie Nickerson graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1851773071
  • Provider Enumeration Date: 06/24/2015
  • Last Update Date: 12/13/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2860752201
  • Enrollment ID: I20180205000872

Medical Identifiers

Medical identifiers for Kristie Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851773071NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics OT 3011 (Maine)Secondary
225X00000XOccupational Therapist 4040 (South Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Lakes Therapy Llc37797110313

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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. Kristie Nickerson allows following entities to bill medicare on her behalf.
Provider NameGreenville Proaxis Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1669457859
PECOS PAC ID: 0244267771
Enrollment ID: O20050726000769

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Provider NameSouthern Lakes Therapy Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1700212420
PECOS PAC ID: 3779711031
Enrollment ID: O20140113000282

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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. Kristie 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
Kristie Nickerson, MS OTR/L
34 Loon Dr,
Topsham, ME 04086-1538

Ph: (207) 837-4447
Kristie Nickerson, MS OTR/L
119 Office Park Dr,
Orangeburg, SC 29118-2407

Ph: (803) 536-5509

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Occupational Therapist in Orangeburg, SC

Margaret Mclaurin,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 119 Office Park Dr, Orangeburg, SC 29118
Phone: 803-536-5509    
Ms. Barbara Lee Graham, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 611 Mulberry St, Orangeburg, SC 29118
Phone: 803-531-4368    
B L Graham Llc
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 611 Mulberry St, Orangeburg, SC 29118
Phone: 803-747-0736    
Mrs. Adrienne Barron Mcmillan, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1895 Saint Matthews Rd, Orangeburg, SC 29118
Phone: 803-395-2600    Fax: 803-395-2594
Katie Myers Haddock, OTRL
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 575 Stonewall Jackson Blvd, Orangeburg, SC 29115
Phone: 803-531-5682    
Mrs. Jennifer S Bunch, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 230 Elliott St, Orangeburg, SC 29115
Phone: 803-534-6567    
Mitzi Binnicker Williams, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118
Phone: 893-395-4378    Fax: 803-395-4376

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