Melissa Tivnan, OTR is a medicare enrolled "Occupational Therapist" provider in Leicester, Massachusetts. Her current practice location is
1037 Main St, Leicester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 892-1335.
Melissa Tivnan is licensed to practice in Massachusetts (license number OTL15187) 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 1639868730.
Healthcare Provider's Profile
| Full Name | Melissa Tivnan |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 1037 Main St, Leicester, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639868730
- Provider Enumeration Date: 05/04/2023
- Last Update Date: 02/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921443094
- Enrollment ID: I20240228002522
Medical Identifiers
Medical identifiers for Melissa Tivnan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639868730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | OTL15187 (Massachusetts) | 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. Melissa Tivnan allows following entities to bill medicare on her behalf.
| Entity Name | Bay State Physical Therapy Of Randolph Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164474334
PECOS PAC ID: 6305744251
Enrollment ID: O20191112001187 |
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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. Melissa Tivnan 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 |
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Melissa Tivnan, OTR
703 Granite St Ste 3,
Braintree, MA 02184-5350
Ph: (781) 961-3370 | Melissa Tivnan, OTR
1037 Main St,
Leicester, MA 01524-1313
Ph: (508) 892-1335 |
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