Nicole Bertolino Bourne, OTR/L - Medicare Occupational Therapist in Wake Forest, NC

Nicole Bertolino Bourne, OTR/L is a medicare enrolled "Occupational Therapist" provider in Wake Forest, North Carolina. Her current practice location is 900 S Franklin St Ste 201, Wake Forest, North Carolina. You can reach out to her office (for appointments etc.) via phone at (973) 567-1913.

Nicole Bertolino Bourne is licensed to practice in South Carolina (license number 5469) 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 1356809925.

Contact Information

Nicole Bertolino Bourne, OTR/L
900 S Franklin St Ste 201,
Wake Forest, NC 27587-2799
(973) 567-1913
Not Available



Healthcare Provider's Profile

Full NameNicole Bertolino Bourne
GenderFemale
SpecialityOccupational Therapist
Location900 S Franklin St Ste 201, Wake Forest, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356809925
  • Provider Enumeration Date: 03/03/2019
  • Last Update Date: 03/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931574514
  • Enrollment ID: I20230413000093

Medical Identifiers

Medical identifiers for Nicole Bertolino Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356809925NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 14379 (North Carolina)Secondary
225X00000XOccupational Therapist 5469 (South Carolina)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. Nicole Bertolino Bourne allows following entities to bill medicare on her behalf.
Provider NamePeak Performance Sports And Physical Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1194714063
PECOS PAC ID: 0749276426
Enrollment ID: O20040421000043

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› Verified 4 days ago

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. Nicole Bertolino Bourne 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
Nicole Bertolino Bourne, OTR/L
900 S Franklin St Ste 201,
Wake Forest, NC 27587-2799

Ph: (919) 556-1700
Nicole Bertolino Bourne, OTR/L
900 S Franklin St Ste 201,
Wake Forest, NC 27587-2799

Ph: (973) 567-1913

News Archive

Blog assesses key elements of Global Fund's new funding model

In an article on the International HIV/AIDS Alliance's webpage, the organization compares a new funding model adopted by the Global Fund to Fight AIDS, Tuberculosis and Malaria to its own "key principles" and "outline[s] how civil society is involved in refining the process of how money will be allocated."

Talks between Bulgaria, Libya delayed as emotions run high over HIV children fund

Five Bulgarian nurses and one Palestinian doctor, who had been sentenced to death by firing squad, following a conviction of infecting 426 children with HIV in a hospital, have had that conviction quashed and a new trial has been ordered by Libya's Supreme Court.

Patterns of DNA anomalies can predict outcomes in women with ovarian cancer

Nearly anyone touched by ovarian cancer will tell you: it's devastating. It's bad enough that cancer in almost 80 percent of patients reaches advanced stages before diagnosis, and that most patients are expected to die within five years. But just as painfully, roughly one quarter of women diagnosed have no warning that they are resistant to platinum-based chemotherapy, the main line of defense, nor that they will likely have 18 months to live.

Almac's main research projects on ovarian, breast cancer to be presented at ASCO 2011

Two of Almac's main research projects have been selected for presentation at the 2011 ASCO meeting. Both of these studies are based on Almac's approach of profiling large clinical datasets and analysing the data for molecular subgroups that can aid in improved diagnosis of cancer by identifying molecular subtypes and by identifying molecular subgroups which are of clinical and therapeutic relevance.

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› Verified 4 days ago


Occupational Therapist in Wake Forest, NC

Kerri Maria Watkins, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 616 Dr Calvin Jones Hwy Ste 212, Wake Forest, NC 27587
Phone: 919-673-4246    
Stephanie Nicole Biggs Ayers, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 701 Tree Green Ln, Wake Forest, NC 27587
Phone: 919-717-0245    
Angela Abbott, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 900 S Franklin St Ste 201, Wake Forest, NC 27587
Phone: 919-556-1700    Fax: 919-556-1245
Kaitlyn Schafer, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 900 S Franklin St Ste 201, Wake Forest, NC 27587
Phone: 919-556-1245    
Ms. Rae-lynn Ziegler, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 956 Jones Wynd, Wake Forest, NC 27587
Phone: 919-274-0123    
Angela Moore, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7204 Donneeford Rd, Wake Forest, NC 27587
Phone: 919-539-3779    
Mrs. Jennifer L Brown, MS, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 900 S Franklin St, Wake Forest, NC 27587
Phone: 919-556-1700    

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