Ms Tammy Lynne Boruch, PT is a medicare enrolled "Physical Therapist" provider in Polo, Missouri. Her current practice location is
3750 Sw State Route T, Polo, Missouri. You can reach out to her office (for appointments etc.) via phone at
(816) 284-0928.
Ms Tammy Lynne Boruch is licensed to practice in Missouri (license number 01750) 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 1053624874.
Healthcare Provider's Profile
| Full Name | Ms Tammy Lynne Boruch |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 3750 Sw State Route T, Polo, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053624874
- Provider Enumeration Date: 07/21/2010
- Last Update Date: 04/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739554098
- Enrollment ID: I20230419000706
Medical Identifiers
Medical identifiers for Ms Tammy Lynne Boruch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053624874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 01750 (Missouri) | Primary |
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. Ms Tammy Lynne Boruch 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 |
Ms Tammy Lynne Boruch, PT 3750 Sw State Route T, Polo, MO 64671-8713 Ph: (816) 284-0928 | Ms Tammy Lynne Boruch, PT 3750 Sw State Route T, Polo, MO 64671-8713 Ph: (816) 284-0928 |
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