Berkeley Vandyke Corcoran, in Draper, UT - Medicare Physical Therapist Provider

Berkeley Vandyke Corcoran, is a medicare enrolled "Physical Therapist" provider in Draper, Utah. Her current practice location is 65 E Wadsworth Park Dr Ste 230, Draper, Utah. You can reach out to her office (for appointments etc.) via phone at (385) 308-8034.

Berkeley Vandyke Corcoran is licensed to practice in Georgia (license number PT013456) 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 1407363328.

Contact Information

	Berkeley Vandyke Corcoran,
	65 E Wadsworth Park Dr Ste 230, Draper, UT 84020-8096
	(385) 308-8034
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Berkeley Vandyke Corcoran
Gender	Female
Speciality	Physical Therapist
Location	65 E Wadsworth Park Dr Ste 230, Draper, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407363328
Provider Enumeration Date: 12/30/2017
Last Update Date: 03/31/2022

Medicare PECOS Information:

PECOS PAC ID: 0244581114
Enrollment ID: I20180917001902

Medical Identifiers

Medical identifiers for Berkeley Vandyke Corcoran such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407363328	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	040.0134281 (Vermont)	Secondary
225100000X	Physical Therapist	PT5928 (Maine)	Secondary
225100000X	Physical Therapist	05014519A (Indiana)	Secondary
225100000X	Physical Therapist	PT030293 (Pennsylvania)	Secondary
225100000X	Physical Therapist	PT200001193 (District Of Columbia)	Secondary
225100000X	Physical Therapist	15718-24 (Wisconsin)	Secondary
225100000X	Physical Therapist	048415-01 (New York)	Secondary
225100000X	Physical Therapist	PT019545 (Ohio)	Secondary
225100000X	Physical Therapist	PT013456 (Georgia)	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. Berkeley Vandyke Corcoran allows following entities to bill medicare on her behalf.

Provider Name	Emory Physical Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922018423 PECOS PAC ID: 1153382676 Enrollment ID: O20041019000776

Provider Name	Georgia Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1245826999 PECOS PAC ID: 4082027727 Enrollment ID: O20210119001811

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. Berkeley Vandyke Corcoran 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
Berkeley Vandyke Corcoran, 474 Lytle Ave Se, Atlanta, GA 30316-1510 Ph: (904) 315-3896	Berkeley Vandyke Corcoran, 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020-8096 Ph: (385) 308-8034

Reviews and Comments

Physical Therapist in Draper, UT

Thomas J Tardif, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034
Mrs. Jana Whitt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 65 E Wadsworth Park Dr Ste 320, Draper, UT 84020 Phone: 385-308-8034
Dr. Joseph Guido Dubato, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034
Cristina Cerrone, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 74 E 11800 S Ste 200, Draper, UT 84020 Phone: 801-432-2070
Madison Sloss, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034
Jordan Theresa Mansfield, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034
Justin Guillot, Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 Fax: 385-308-8034

Berkeley Vandyke Corcoran, - Medicare Physical Therapist in Draper, UT