Myka Goodrum, OTR/L in Keller, TX - Medicare Physical Therapy Provider

Myka Goodrum, OTR/L is a medicare enrolled "Occupational Therapist - Pediatrics" provider in Keller, Texas. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Healthpro Heritage Rehab And Fitness Llc and her current practice location is 1101 Keller Pkwy, Keller, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 562-3111.

Myka Goodrum is licensed to practice in Texas (license number 119534) 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 1013485093.

Contact Information

	Myka Goodrum, OTR/L
	1101 Keller Pkwy, Keller, TX 76248-3614
	(817) 562-3111
	(817) 562-3114

Map and Direction

Healthcare Provider's Profile

Full Name	Myka Goodrum
Gender	Female
Speciality	Physical Therapy
Experience	6 Years
Location	1101 Keller Pkwy, Keller, Texas
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:

Myka Goodrum graduated from medical school in 2018

NPI Data:

NPI Number: 1013485093
Provider Enumeration Date: 11/07/2018
Last Update Date: 08/19/2021

Medicare PECOS Information:

PECOS PAC ID: 1759786866
Enrollment ID: I20210826002434

Medical Identifiers

Medical identifiers for Myka Goodrum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013485093	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XP0200X	Occupational Therapist - Pediatrics	119534 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Healthpro Heritage Rehab And Fitness Llc	6507832573	725

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. Myka Goodrum allows following entities to bill medicare on her behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952531154 PECOS PAC ID: 6507832573 Enrollment ID: O20160330000839

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. Myka Goodrum 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
Myka Goodrum, OTR/L 1101 Keller Pkwy, Keller, TX 76248-3614 Ph: (817) 562-3111	Myka Goodrum, OTR/L 1101 Keller Pkwy, Keller, TX 76248-3614 Ph: (817) 562-3111

Reviews and Comments

Occupational Therapist in Keller, TX

Mrs. Terra Anita Brown, OTR, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1652 Keller Parkway, Ste 100, Keller, TX 76248 Phone: 817-562-3111 Fax: 817-562-3114
Mrs. Brandi Nelson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 Medina Dr, Keller, TX 76248 Phone: 817-991-0489
Martha Maher Iskander, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 Keller Pkwy, Keller, TX 76248 Phone: 817-562-3111
Allison Rose Tietjen, OTD Occupational Therapist Medicare: Medicare Enrolled Practice Location: 200 Country Brook Dr, Keller, TX 76248 Phone: 817-562-3100
Koren K Johnson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Pate Orr Rd S, Keller, TX 76248 Phone: 817-337-0162 Fax: 817-337-0235
Mrs. Kristen C Mills, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1652 Keller Parkway, Ste 100, Keller, TX 76248 Phone: 817-562-3111 Fax: 817-562-3114

Myka Goodrum, OTR/L - Medicare Occupational Therapist in Keller, TX