Mr David I Proctor Iii, OT in Kokomo, IN - Medicare Occupational Therapist Provider

Mr David I Proctor Iii, OT is a medicare enrolled "Occupational Therapist" provider in Kokomo, Indiana. His current practice location is 2108 E Boulevard, Kokomo, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 416-8480.

Mr David I Proctor Iii is licensed to practice in Indiana (license number 31005755A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487198230.

Contact Information

	Mr David I Proctor Iii, OT
	2108 E Boulevard, Kokomo, IN 46902-2401
	(765) 416-8480
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr David I Proctor Iii
Gender	Male
Speciality	Occupational Therapist
Location	2108 E Boulevard, Kokomo, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487198230
Provider Enumeration Date: 12/13/2016
Last Update Date: 08/31/2022

Medicare PECOS Information:

PECOS PAC ID: 6002290277
Enrollment ID: I20220907002750

Medical Identifiers

Medical identifiers for Mr David I Proctor Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487198230	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	31005755A (Indiana)	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. Mr David I Proctor Iii allows following entities to bill medicare on his behalf.

Provider Name	Ivyrehab Physical Therapy Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1750764494 PECOS PAC ID: 7012997638 Enrollment ID: O20151211000959

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. Mr David I Proctor Iii 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 Address	Practice Location Address
Mr David I Proctor Iii, OT Po Box 411169, Boston, MA 02241-2330 Ph: (888) 883-0412	Mr David I Proctor Iii, OT 2108 E Boulevard, Kokomo, IN 46902-2401 Ph: (765) 416-8480

Reviews and Comments

Occupational Therapist in Kokomo, IN

Anthony M. Pena, CHT, OT, LPN Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2312 S Dixon Rd, Suite 250, Kokomo, IN 46902 Phone: 765-455-2122 Fax: 765-455-3122
Sabra J Richardson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1220 Laguna St, Kokomo, IN 46902 Phone: 765-454-5340 Fax: 765-454-5347
Mr. Rommel C Malimas, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 419 W Lincoln Rd Apt A6, Kokomo, IN 46902 Phone: 260-273-2448
Eric Michael Fiscus, MOT, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2233 W Jefferson St, Kokomo, IN 46901 Phone: 765-457-9175
Jennifer E Johnson, MS, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5442
Dwayne Huskey, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 206 Breezy Ln, Kokomo, IN 46901 Phone: 765-434-3232
Bethany Lawyer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1220 Laguna St, Kokomo, IN 46902 Phone: 765-454-5340

Mr David I Proctor Iii, OT - Medicare Occupational Therapist in Kokomo, IN