Terry Lynn Revere, OT in Warren, MI - Medicare Occupational Therapist Provider

Terry Lynn Revere, OT is a medicare enrolled "Occupational Therapist" provider in Warren, Michigan. Her current practice location is 29256 Ryan Rd, Warren, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 751-6667.

Terry Lynn Revere is licensed to practice in Michigan (license number 5201006222) 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 1619013356.

Contact Information

	Terry Lynn Revere, OT
	29256 Ryan Rd, Warren, MI 48092-4242
	(586) 751-6667
	(586) 751-1888

Map and Direction

Healthcare Provider's Profile

Full Name	Terry Lynn Revere
Gender	Female
Speciality	Occupational Therapist
Location	29256 Ryan Rd, Warren, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619013356
Provider Enumeration Date: 01/29/2007
Last Update Date: 10/24/2017

Medicare PECOS Information:

PECOS PAC ID: 7911008891
Enrollment ID: I20070723000059

Medical Identifiers

Medical identifiers for Terry Lynn Revere such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619013356	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5201006222 (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. Terry Lynn Revere allows following entities to bill medicare on her behalf.

Provider Name	Sunshine Therapy Provider Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1326760588 PECOS PAC ID: 2961872320 Enrollment ID: O20221228002451

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. Terry Lynn Revere 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
Terry Lynn Revere, OT 29256 Ryan Rd, Warren, MI 48092-4242 Ph: (586) 751-1555	Terry Lynn Revere, OT 29256 Ryan Rd, Warren, MI 48092-4242 Ph: (586) 751-6667

Reviews and Comments

Occupational Therapist in Warren, MI

Danielle Rodzik, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11012 E 13 Mile Rd, Warren, MI 48093 Phone: 586-573-8890
Ms. Bernadette Kosir, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30250 Merrick Ave, Warren, MI 48092 Phone: 586-751-2474
Rochelle Rossman Reichel, OTR/L, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 31246 Frank Dr, Warren, MI 48093 Phone: 586-604-9999 Fax: 586-979-3449
Hannah Marie Suciu, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11012 E 13 Mile Rd Ste 200, Warren, MI 48093 Phone: 586-573-8890
Rachel Banados, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12000 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5731
Nicholas Demers, MOTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29703 Hoover Rd Ste A, Warren, MI 48093 Phone: 586-582-0340
Jessica Farraj, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11800 E. 12 Mile Road, Warren, MI 48093 Phone: 586-573-5123

Terry Lynn Revere, OT - Medicare Occupational Therapist in Warren, MI