Donna M Tiley, OTR L,CHT in Salt Lake City, UT - Medicare Occupational Therapist Provider

Donna M Tiley, OTR L,CHT is a medicare enrolled "Occupational Therapist" provider in Salt Lake City, Utah. Her current practice location is 5151 S 900 E, #100, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 261-3321.

Donna M Tiley is licensed to practice in Utah (license number 5036567-4201) 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 1194726786.

Contact Information

	Donna M Tiley, OTR L,CHT
	5151 S 900 E, #100, Salt Lake City, UT 84117-6601
	(801) 261-3321
	(801) 261-5942

Map and Direction

Healthcare Provider's Profile

Full Name	Donna M Tiley
Gender	Female
Speciality	Occupational Therapist
Location	5151 S 900 E, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194726786
Provider Enumeration Date: 08/03/2005
Last Update Date: 09/16/2017

Medicare PECOS Information:

PECOS PAC ID: 7911970405
Enrollment ID: I20040813000437

Medical Identifiers

Medical identifiers for Donna M Tiley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194726786	NPI	-	NPPES
9733481002	Other	UT	CIGNA
CJ9402	Other	UT	RAILROAD MEDICARE
QM0000057787	Other	UT	ALTIUS
870388269BR1	Other	UT	EDUCATORS MUTUAL
1108540001	Other	UT	CIGNA DMERC
68952	Other	UT	PEHP
50365674200001	Other	UT	BLUE CROSS BLUE SHIELD
5417	Other	UT	DMBA
09-00411	Other	UT	UNITED HEALTHCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5036567-4201 (Utah)	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. Donna M Tiley allows following entities to bill medicare on her behalf.

Provider Name	Ihc Health Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1033822085 PECOS PAC ID: 1850209420 Enrollment ID: O20230627000064

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. Donna M Tiley 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
Donna M Tiley, OTR L,CHT 5151 S 900 E, #100, Salt Lake City, UT 84117-6657 Ph: (801) 261-3321	Donna M Tiley, OTR L,CHT 5151 S 900 E, #100, Salt Lake City, UT 84117-6601 Ph: (801) 261-3321

Reviews and Comments

Occupational Therapist in Salt Lake City, UT

Adam Porter, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-585-2119
Aloe Otte, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-942-5955
Kyle Fairchild, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 E Bishop Federal Ln, Salt Lake City, UT 84115 Phone: 801-487-7557
Mark Powell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-268-7111
Steven Wayne Newton, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Bishop Federal Lane, Salt Lake City, UT 84115 Phone: 801-493-8903 Fax: 801-468-6843
Jeff Mackay, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303
Kathryn Roof, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303

Donna M Tiley, OTR L,CHT - Medicare Occupational Therapist in Salt Lake City, UT