Mary K Deranger, PT in Zachary, LA - Medicare Physical Therapist Provider

Mary K Deranger, PT is a medicare enrolled "Physical Therapist" provider in Zachary, Louisiana. Her current practice location is 2335 Church St Ste G, Zachary, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 654-8208.

Mary K Deranger is licensed to practice in Louisiana (license number 07557) 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 1255565545.

Contact Information

	Mary K Deranger, PT
	2335 Church St Ste G, Zachary, LA 70791-2700
	(225) 654-8208
	(225) 654-4642

Map and Direction

Healthcare Provider's Profile

Full Name	Mary K Deranger
Gender	Female
Speciality	Physical Therapist
Location	2335 Church St Ste G, Zachary, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255565545
Provider Enumeration Date: 05/14/2009
Last Update Date: 07/20/2021

Medicare PECOS Information:

PECOS PAC ID: 7214080530
Enrollment ID: I20090804000851

Medical Identifiers

Medical identifiers for Mary K Deranger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255565545	NPI	-	NPPES
07557	Other	LA	PHYSICAL THERAPY LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OTT.200306 (Louisiana)	Secondary
225100000X	Physical Therapist	07557 (Louisiana)	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. Mary K Deranger allows following entities to bill medicare on her behalf.

Provider Name	Alvin C Moreau Jr Licensed Physical Therapist Dtd 01 15 82
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1770568669 PECOS PAC ID: 3173419298 Enrollment ID: O20180207001400

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. Mary K Deranger 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
Mary K Deranger, PT 2335 Church St Ste G, Zachary, LA 70791-2700 Ph: (225) 654-8208	Mary K Deranger, PT 2335 Church St Ste G, Zachary, LA 70791-2700 Ph: (225) 654-8208

Reviews and Comments

Physical Therapist in Zachary, LA

Mrs. Joy Birdwell Petty, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1219 Church St, Zachary, LA 70791 Phone: 225-658-7751 Fax: 225-658-7753
Moreau Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4845 Main St Ste B, Zachary, LA 70791 Phone: 225-654-8208 Fax: 225-654-4642
Mr. Stephen James Mayronne Jr., PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1219 Church St, Zachary, LA 70791 Phone: 225-658-7751 Fax: 225-658-7753
Amanda Joan Tinnin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4845 Main St Ste B, Zachary, LA 70791 Phone: 225-286-0181
Jameson Levon William Alston, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4845 Main St # C, Zachary, LA 70791 Phone: 225-286-0181 Fax: 225-286-0186
Mrs. Kimberly Sue Denham, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1326 Church St, Zachary, LA 70791 Phone: 225-654-8208 Fax: 225-654-4642
Colleen Wilbert, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1326 Church St, Zachary, LA 70791 Phone: 225-654-8208 Fax: 225-654-4642

Mary K Deranger, PT - Medicare Physical Therapist in Zachary, LA