Tyler Gorman, in Saint John, IN - Medicare Occupational Therapist Provider

Tyler Gorman, is a medicare enrolled "Occupational Therapist" provider in Saint John, Indiana. Her current practice location is 10033 Wicker Ave Ste 7&8, Saint John, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 213-2222.

Tyler Gorman is licensed to practice in * (Not Available) (license number ) 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 1811776693.

Contact Information

	Tyler Gorman,
	10033 Wicker Ave Ste 7&8, Saint John, IN 46373-8776
	(219) 213-2222
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Gorman
Gender	Female
Speciality	Occupational Therapist
Location	10033 Wicker Ave Ste 7&8, Saint John, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811776693
Provider Enumeration Date: 09/21/2023
Last Update Date: 09/21/2023

Medicare PECOS Information:

PECOS PAC ID: 4880040336
Enrollment ID: I20231019003282

Medical Identifiers

Medical identifiers for Tyler Gorman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811776693	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	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. Tyler Gorman allows following entities to bill medicare on her behalf.

Provider Name	Ivyrehab Physical Therapy Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1750764494 PECOS PAC ID: 7012997638 Enrollment ID: O20151211000959

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. Tyler Gorman 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
Tyler Gorman, 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (888) 830-4125	Tyler Gorman, 10033 Wicker Ave Ste 7&8, Saint John, IN 46373-8776 Ph: (219) 213-2222

Reviews and Comments

Occupational Therapist in Saint John, IN

Cortney Baczkowicz, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10820 Park Pl, Saint John, IN 46373 Phone: 219-351-5200
Kelly Marie Kislowski, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8626 Wicker Ave Ste C, Saint John, IN 46373 Phone: 219-440-7930
Mrs. Michelle Coil, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8259 Wicker Ave, Saint John, IN 46373 Phone: 800-870-4540 Fax: 219-365-6561
Ms. Kristina Marie Aimone, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10033 Wicker Ave Ste 7&8, Saint John, IN 46373 Phone: 219-213-2222
Kimberly Ann Butler, MOT/OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11851 Heron Lake Rd, Saint John, IN 46373 Phone: 219-577-2400
Sarah Marya Sandoval, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10033 Wicker Ave Ste 7&8, Saint John, IN 46373 Phone: 219-266-6241

Tyler Gorman, - Medicare Occupational Therapist in Saint John, IN