Mrs Mary Michelle Tallman, OTR/L in Fenton, MI - Medicare Occupational Therapist Provider

Mrs Mary Michelle Tallman, OTR/L is a medicare enrolled "Occupational Therapist - Pediatrics" provider in Fenton, Michigan. Her current practice location is 400 Rounds Dr, Fenton, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 629-0530.

Mrs Mary Michelle Tallman is licensed to practice in Michigan (license number 5201003934) 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 1922405182.

Contact Information

	Mrs Mary Michelle Tallman, OTR/L
	400 Rounds Dr, Fenton, MI 48430-1724
	(810) 629-0530
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mary Michelle Tallman
Gender	Female
Speciality	Occupational Therapist - Pediatrics
Location	400 Rounds Dr, Fenton, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922405182
Provider Enumeration Date: 12/03/2014
Last Update Date: 06/23/2023

Medicare PECOS Information:

PECOS PAC ID: 9638590474
Enrollment ID: I20200602002434

Medical Identifiers

Medical identifiers for Mrs Mary Michelle Tallman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922405182	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XP0200X	Occupational Therapist - Pediatrics	5201003934 (Michigan)	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. Mrs Mary Michelle Tallman allows following entities to bill medicare on her behalf.

Provider Name	Ivyrehab Michigan Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245

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. Mrs Mary Michelle Tallman 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
Mrs Mary Michelle Tallman, OTR/L 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 265-4838	Mrs Mary Michelle Tallman, OTR/L 400 Rounds Dr, Fenton, MI 48430-1724 Ph: (810) 629-0530

Reviews and Comments

Occupational Therapist in Fenton, MI

Kathryn Claypool, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Pinecreek Dr, Fenton, MI 48430 Phone: 248-229-5731
Brianna Rae Byrd, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Rounds Dr, Fenton, MI 48430 Phone: 810-629-0530 Fax: 810-750-6361
Melissa Wallington, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 N River St, Fenton, MI 48430 Phone: 810-519-8227
Ms. Kathleen Carey Haines, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Briarwood Ln, Fenton, MI 48430 Phone: 810-629-9032
Ms. Anna Leigh Koontz, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 512 Beach St, Fenton, MI 48430 Phone: 810-629-4117
Sarah Marie Brubaker, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Rounds Dr, Fenton, MI 48430 Phone: 810-629-0530
Jenna Ann Mandernach, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 400 Rounds Dr, Fenton, MI 48430 Phone: 810-629-0530

Mrs Mary Michelle Tallman, OTR/L - Medicare Occupational Therapist in Fenton, MI