Ms Tammy Lynne Boruch, PT is a medicare enrolled "Physical Therapist" provider in Polo, Missouri. She graduated from medical school in 1986 and has 40 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Powerback Rehabilitation Llc and 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
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 1053624874.
Healthcare Provider's Profile
| Full Name | Ms Tammy Lynne Boruch |
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| Gender | Female |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 40 Years |
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| Location | 3750 Sw State Route T, Polo, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Tammy Lynne Boruch graduated from medical school in 1986
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 |
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| 1053624874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 01750 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Powerback Rehabilitation Llc | 2365359932 | 619 |
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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