Mrs Tara Manzano, OTR/L in Carbondale, IL - Medicare Occupational Therapist In Private Practice Provider

Mrs Tara Manzano, OTR/L is a medicare enrolled "Occupational Therapist" provider in Carbondale, Illinois. She graduated from medical school in 2001 and has 25 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Myofascial Release Of Southern Illinois and her current practice location is 101 S Graham Ave, Suite 3, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 305-4696.

Mrs Tara Manzano is licensed to practice in Illinois (license number 056006377) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164853255.

Contact Information

	Mrs Tara Manzano, OTR/L
	101 S Graham Ave, Suite 3, Carbondale, IL 62901-3043
	(618) 305-4696
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tara Manzano
Gender	Female
Speciality	Occupational Therapist In Private Practice
Experience	25 Years
Location	101 S Graham Ave, Carbondale, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Tara Manzano graduated from medical school in 2001

NPI Data:

NPI Number: 1164853255
Provider Enumeration Date: 11/27/2013
Last Update Date: 11/04/2014

Medicare PECOS Information:

PECOS PAC ID: 3375766280
Enrollment ID: I20140522000537

Medical Identifiers

Medical identifiers for Mrs Tara Manzano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164853255	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	056006377 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Myofascial Release Of Southern Illinois	4284867151	2

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 Tara Manzano allows following entities to bill medicare on her behalf.

Provider Name	Myofascial Release Of Southern Illinois
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1851722946 PECOS PAC ID: 4284867151 Enrollment ID: O20140429002109

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 Tara Manzano 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 Tara Manzano, OTR/L Po Box 2031, Carbondale, IL 62902-2031 Ph: (618) 305-4696	Mrs Tara Manzano, OTR/L 101 S Graham Ave, Suite 3, Carbondale, IL 62901-3043 Ph: (618) 305-4696

Reviews and Comments

Occupational Therapist in Carbondale, IL

Rachel Watson, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 120 N Tower Rd, Carbondale, IL 62901 Phone: 618-663-0485
Kelsey Miller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Mrs. Laura Ann Robison, MSOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 S Lewis Ln, Carbondale, IL 62901 Phone: 618-529-5355
Kristen Nagreski, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 306 W Mill St, Carbondale, IL 62901 Phone: 618-529-3060
Mr. Jennifer Christine Aspen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0419
Sidney C Metzger, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 N Reed Station Rd, Carbondale, IL 62902 Phone: 618-529-3060

Mrs Tara Manzano, OTR/L - Medicare Occupational Therapist in Carbondale, IL