Nichole Bernhard, OTR - Medicare Occupational Therapist in Park City, UT

Nichole Bernhard, OTR is a medicare enrolled "Occupational Therapist - Neurorehabilitation" provider in Park City, Utah. Her current practice location is 900 Round Valley Dr, Park City, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 658-7359.

Nichole Bernhard is licensed to practice in Utah (license number 321294-4201) 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 1356462394.

Contact Information

Nichole Bernhard, OTR
900 Round Valley Dr,
Park City, UT 84060-7552
(435) 658-7359
Not Available



Healthcare Provider's Profile

Full NameNichole Bernhard
GenderFemale
SpecialityOccupational Therapist - Neurorehabilitation
Location900 Round Valley Dr, Park City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356462394
  • Provider Enumeration Date: 04/03/2007
  • Last Update Date: 09/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9638399884
  • Enrollment ID: I20141009002639

Medical Identifiers

Medical identifiers for Nichole Bernhard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356462394NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XN1300XOccupational Therapist - Neurorehabilitation 321294-4201 (Utah)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. Nichole Bernhard allows following entities to bill medicare on her behalf.
Provider NameIhc Health Services Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1033822085
PECOS PAC ID: 1850209420
Enrollment ID: O20230627000064

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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. Nichole Bernhard 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
Nichole Bernhard, OTR
Po Box 511258,
Los Angeles, CA 90051-7813

Ph: (801) 584-6303
Nichole Bernhard, OTR
900 Round Valley Dr,
Park City, UT 84060-7552

Ph: (435) 658-7359

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Occupational Therapist in Park City, UT

Mrs. Stephanie Marie Rudisill, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Redstone Center Dr, Suite 200, Park City, UT 84098
Phone: 214-575-9820    Fax: 214-575-9846
Megan B Williams, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2015 Sidewinder Dr, Park City, UT 84060
Phone: 435-645-9095    Fax: 435-645-9092
Stephanie Anne Polukoff, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4910 Bear View Dr, Park City, UT 84098
Phone: 435-640-9001    
Bounce Therapy Llc
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6318 View Dr, Park City, UT 84098
Phone: 435-655-1210    
Lacey Ann Zimmermann, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 4554 Forestdale Dr Unit E26, Park City, UT 84098
Phone: 435-400-4064    
Darrell Larry, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Redstone Center Dr, Suite 200, Park City, UT 84098
Phone: 312-301-0411    

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