Peter Coleman Grader, OTR/L - Medicare Occupational Therapist in Fort Worth, TX

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Peter Coleman Grader, OTR/L is a medicare enrolled "Occupational Therapist" physician in Fort Worth, Texas. His current practice location is 4109 Westridge Ave, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 813-9431.

Peter Coleman Grader is licensed to practice in Texas (license number 102507) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245005099.

Contact Information

Peter Coleman Grader, OTR/L
4109 Westridge Ave,
Fort Worth, TX 76116-7403
(817) 813-9431
Not Available

Map and Direction




Physician's Profile

Full NamePeter Coleman Grader
GenderMale
SpecialityOccupational Therapist
Location4109 Westridge Ave, Fort Worth, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245005099
  • Provider Enumeration Date: 11/21/2023
  • Last Update Date: 11/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7416481759
  • Enrollment ID: I20241109000267

Medical Identifiers

Medical identifiers for Peter Coleman Grader such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245005099NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 102507 (Texas)Secondary
225X00000XOccupational Therapist 102507 (Texas)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. Peter Coleman Grader allows following entities to bill medicare on his behalf.
Entity NameLegacy Healthcare Services Inc
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1871132357
PECOS PAC ID: 2163339722
Enrollment ID: O20170201001261

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. Peter Coleman Grader 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 AddressPractice Location Address
Peter Coleman Grader, OTR/L
417 Dove Ln,
Fort Worth, TX 76108-3793

Ph: (817) 223-7734		Peter Coleman Grader, OTR/L
4109 Westridge Ave,
Fort Worth, TX 76116-7403

Ph: (817) 813-9431

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.