Mr Gordon L Hines, OT in Provo, UT - Medicare Occupational Therapist Provider

Mr Gordon L Hines, OT is a medicare enrolled "Occupational Therapist" provider in Provo, Utah. His current practice location is 1034 N 500 W, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 373-7850.

Mr Gordon L Hines is licensed to practice in Utah (license number 1071174201) 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 1568477057.

Contact Information

	Mr Gordon L Hines, OT
	1034 N 500 W, Provo, UT 84604-3380
	(801) 373-7850
	(801) 357-7997

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Gordon L Hines
Gender	Male
Speciality	Occupational Therapist
Location	1034 N 500 W, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568477057
Provider Enumeration Date: 07/31/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5193171502
Enrollment ID: I20231020001959

Medical Identifiers

Medical identifiers for Mr Gordon L Hines such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568477057	NPI	-	NPPES
1071174201	Other	UT	UTAH STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	1071174201 (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. Mr Gordon L Hines allows following entities to bill medicare on his 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. Mr Gordon L Hines 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
Mr Gordon L Hines, OT Po Box 30180, Salt Lake City, UT 84130-0180 Ph: (801) 357-7475	Mr Gordon L Hines, OT 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 373-7850

Reviews and Comments

Occupational Therapist in Provo, UT

Darby Melesse Herrmann, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850
Andrew Clark, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850
Emily Pridgeon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5314 N River Run Dr, Suite 140, Provo, UT 84604 Phone: 480-946-6571
Brittany Naef, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850
Mr. Darin S. Mcspadden, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5314 River Run Dr Ste 140, Provo, UT 84604 Phone: 801-426-4905
Katrina Leigh, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 578 W 1850 N, Provo, UT 84604 Phone: 408-340-0571
Alyssa Noel Cook, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 N 500 W, Provo, UT 84604 Phone: 801-377-9661

Mr Gordon L Hines, OT - Medicare Occupational Therapist in Provo, UT