Mr Thomas H Lawrence Iv, OTD, OTR/L is a medicare enrolled "Nursing Facility/intermediate Care Facility" provider in Memphis, Tennessee. His current practice location is
1076 Chambliss Rd, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(901) 348-2273.
Mr Thomas H Lawrence Iv is licensed to practice in Tennessee (license number OT0000003111) 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 1508022054.
Healthcare Provider's Profile
Full Name | Mr Thomas H Lawrence Iv |
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Gender | Male |
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Speciality | Nursing Facility/intermediate Care Facility |
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Location | 1076 Chambliss Rd, Memphis, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508022054
- Provider Enumeration Date: 08/04/2008
- Last Update Date: 11/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446608368
- Enrollment ID: I20231201002340
Medical Identifiers
Medical identifiers for Mr Thomas H Lawrence Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508022054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
313M00000X | Nursing Facility/intermediate Care Facility | OT0000003111 (Tennessee) | 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 Thomas H Lawrence Iv allows following entities to bill medicare on his behalf.
Provider Name | Tri-vista Rehab, Inc. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1982799516 PECOS PAC ID: 0345390308 Enrollment ID: O20200930000089 |
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Provider Name | Creative Health Care Management Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1508538810 PECOS PAC ID: 4385929892 Enrollment ID: O20211102003279 |
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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. Mr Thomas H Lawrence Iv 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 Thomas H Lawrence Iv, OTD, OTR/L 1076 Chambliss Rd, Memphis, TN 38116-6381 Ph: (901) 348-2273 | Mr Thomas H Lawrence Iv, OTD, OTR/L 1076 Chambliss Rd, Memphis, TN 38116-6381 Ph: (901) 348-2273 |
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