Marie Lyani Nicandro, OTR/L - Medicare Occupational Therapist in Freehold, NJ

Marie Lyani Nicandro, OTR/L is a medicare enrolled "Occupational Therapist" provider in Freehold, New Jersey. Her current practice location is 77 Schanck Rd Ste B-17, Freehold, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 414-6060.

Marie Lyani Nicandro is licensed to practice in New Jersey (license number 46TR01122000) 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 1023706322.

Contact Information

Marie Lyani Nicandro, OTR/L
77 Schanck Rd Ste B-17,
Freehold, NJ 07728-2964
(732) 414-6060
Not Available



Healthcare Provider's Profile

Full NameMarie Lyani Nicandro
GenderFemale
SpecialityOccupational Therapist
Location77 Schanck Rd Ste B-17, Freehold, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023706322
  • Provider Enumeration Date: 04/26/2023
  • Last Update Date: 06/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4486011996
  • Enrollment ID: I20230526001615

Medical Identifiers

Medical identifiers for Marie Lyani Nicandro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023706322NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 46TR01122000 (New Jersey)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. Marie Lyani Nicandro allows following entities to bill medicare on her behalf.
Provider NameGarden State Spine And Rehabilitation
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1780282269
PECOS PAC ID: 0143631283
Enrollment ID: O20201123000412

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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. Marie Lyani Nicandro 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
Marie Lyani Nicandro, OTR/L
77 Schanck Rd Ste B-17,
Freehold, NJ 07728-2964

Ph: () -
Marie Lyani Nicandro, OTR/L
77 Schanck Rd Ste B-17,
Freehold, NJ 07728-2964

Ph: (732) 414-6060

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Occupational Therapist in Freehold, NJ

Dianne S Gue, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: West Main Street, Freehold, NJ 07728
Phone: 732-303-5067    
Mr. Gregg P Taylor, OTR
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 5 Mohegan Rd, Freehold, NJ 07728
Phone: 732-409-7427    
Christopher Yang, DROT, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 14 Chatham Ridge Dr, Freehold, NJ 07728
Phone: 732-272-3456    
Miss Alexis Catherine Caccio, OTR/L
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3338 Route 9 S, Freehold, NJ 07728
Phone: 732-780-1111    
Gabrielle Yosuico, OTR/L
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 77 Schanck Rd Ste B-17, Freehold, NJ 07728
Phone: 732-414-6060    
Alexandra Sacco,
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 210 Mounts Corner Dr, Freehold, NJ 07728
Phone: 732-414-2700    

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