Mr Thomas Masashi Ikeda, OTR L in Waco, TX - Medicare Occupational Therapist Provider

Mr Thomas Masashi Ikeda, OTR L is a medicare enrolled "Occupational Therapist" provider in Waco, Texas. His current practice location is 1200 Richland Dr, Suite G, Waco, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 772-0118.

Mr Thomas Masashi Ikeda is licensed to practice in Texas (license number 111726) 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 1891751889.

Contact Information

	Mr Thomas Masashi Ikeda, OTR L
	1200 Richland Dr, Suite G, Waco, TX 76710-8008
	(254) 772-0118
	(254) 772-3883

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Thomas Masashi Ikeda
Gender	Male
Speciality	Occupational Therapist
Location	1200 Richland Dr, Waco, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891751889
Provider Enumeration Date: 04/26/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9931453149
Enrollment ID: I20181106002859

Medical Identifiers

Medical identifiers for Mr Thomas Masashi Ikeda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891751889	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	111726 (Texas)	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 Thomas Masashi Ikeda allows following entities to bill medicare on his behalf.

Provider Name	Active Therapy Group Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326745647 PECOS PAC ID: 0648636597 Enrollment ID: O20230518001368

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 Thomas Masashi Ikeda 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 Thomas Masashi Ikeda, OTR L 1200 Richland Dr, Suite G, Waco, TX 76710-8008 Ph: (254) 772-0118	Mr Thomas Masashi Ikeda, OTR L 1200 Richland Dr, Suite G, Waco, TX 76710-8008 Ph: (254) 772-0118

Reviews and Comments

Occupational Therapist in Waco, TX

Ricardo G Altahif Jr., OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 956-735-3496
Ms. Olivia Rae Freeman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 Herring Ave, Waco, TX 76708 Phone: 254-202-2565
Teddie Belle Genter, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133
Ms. Susan Ann Perry, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Klaras Children's Center Eci, 110 S. 12th Street, Waco, TX 76703 Phone: 254-752-3451 Fax: 254-296-2932
Jarrod Maddox, OTD, OTR, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 Hillcrest Medical Blvd Bldg Iii 1, Waco, TX 76712 Phone: 254-202-7180 Fax: 254-202-7184
Olivia Cudd, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 W Loop 340, Waco, TX 76712 Phone: 254-399-8255
Mariah Rivera, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 W Loop 340, Waco, TX 76712 Phone: 254-399-8255

Mr Thomas Masashi Ikeda, OTR L - Medicare Occupational Therapist in Waco, TX