Mrs Bryony Fawne Derose, OTR in Dearborn, MI - Medicare Occupational Therapist Provider

Mrs Bryony Fawne Derose, OTR is a medicare enrolled "Occupational Therapist - Hand" provider in Dearborn, Michigan. Her current practice location is 22731 Newman Street Suite100b, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 791-0616.

Mrs Bryony Fawne Derose is licensed to practice in Michigan (license number 5201005966) 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 1689875841.

Contact Information

	Mrs Bryony Fawne Derose, OTR
	22731 Newman Street Suite100b, Dearborn, MI 48124
	(313) 791-0616
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Bryony Fawne Derose
Gender	Female
Speciality	Occupational Therapist - Hand
Location	22731 Newman Street Suite100b, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689875841
Provider Enumeration Date: 05/29/2007
Last Update Date: 02/19/2008

Medicare PECOS Information:

PECOS PAC ID: 6305155714
Enrollment ID: I20151027000490

Medical Identifiers

Medical identifiers for Mrs Bryony Fawne Derose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689875841	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XH1200X	Occupational Therapist - Hand	5201005966 (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 Bryony Fawne Derose allows following entities to bill medicare on her behalf.

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20191218001701

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 Bryony Fawne Derose 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 Bryony Fawne Derose, OTR 22731 Newman Suite 100b, Dearborn, MI 48124 Ph: (313) 791-0616	Mrs Bryony Fawne Derose, OTR 22731 Newman Street Suite100b, Dearborn, MI 48124 Ph: (313) 791-0616

Reviews and Comments

Occupational Therapist in Dearborn, MI

Ms. Samantha Baker, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 22731 Newmand Street, Suite 100b, Dearborn, MI 48124 Phone: 313-791-0616
Calleigh-reese Coffin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Parklane Blvd Ste E200, Dearborn, MI 48126 Phone: 586-204-5560
Adrienna Bartnicki, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124 Phone: 734-407-2500
Kristie Jenshuan Hsieh, MS OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 22731 Newman St Ste 100b, Dearborn, MI 48124 Phone: 313-791-0616
Ms. Melanie Ward, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20469 Outer Dr, Dearborn, MI 48124 Phone: 734-282-2100
Rachel E Basile, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7760
Taylor Pauline Talbot, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3101 S Gulley Rd Ste F, Dearborn, MI 48124 Phone: 734-407-2500 Fax: 313-792-8962

Mrs Bryony Fawne Derose, OTR - Medicare Occupational Therapist in Dearborn, MI