Mrs Bryony Fawne Derose, OTR - Medicare Occupational Therapist in Dearborn, MI

Mrs Bryony Fawne Derose, OTR is a medicare enrolled "Occupational Therapist - Hand" provider in Dearborn, Michigan. Her current practice location is 22731 Newman Street Suite100b, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 791-0616.

Mrs Bryony Fawne Derose is licensed to practice in Michigan (license number 5201005966) 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 1689875841.

Contact Information

Mrs Bryony Fawne Derose, OTR
22731 Newman Street Suite100b,
Dearborn, MI 48124
(313) 791-0616
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Bryony Fawne Derose
GenderFemale
SpecialityOccupational Therapist - Hand
Location22731 Newman Street Suite100b, Dearborn, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689875841
  • Provider Enumeration Date: 05/29/2007
  • Last Update Date: 02/19/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 6305155714
  • Enrollment ID: I20151027000490

Medical Identifiers

Medical identifiers for Mrs Bryony Fawne Derose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689875841NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XH1200XOccupational Therapist - Hand 5201005966 (Michigan)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. Mrs Bryony Fawne Derose allows following entities to bill medicare on her behalf.
Provider NameAthletico Ltd
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1821085028
PECOS PAC ID: 4789602681
Enrollment ID: O20191218001701

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. Mrs Bryony Fawne Derose 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
Mrs Bryony Fawne Derose, OTR
22731 Newman Suite 100b,
Dearborn, MI 48124

Ph: (313) 791-0616
Mrs Bryony Fawne Derose, OTR
22731 Newman Street Suite100b,
Dearborn, MI 48124

Ph: (313) 791-0616

Reviews and Comments


Occupational Therapist in Dearborn, MI

Ms. Samantha Baker, OTRL
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 22731 Newmand Street, Suite 100b, Dearborn, MI 48124
Phone: 313-791-0616    
Calleigh-reese Coffin,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Parklane Blvd Ste E200, Dearborn, MI 48126
Phone: 586-204-5560    
Adrienna Bartnicki,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124
Phone: 734-407-2500    
Ms. Melanie Ward, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 20469 Outer Dr, Dearborn, MI 48124
Phone: 734-282-2100    
Rachel E Basile,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124
Phone: 313-593-7760    
Taylor Pauline Talbot,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3101 S Gulley Rd Ste F, Dearborn, MI 48124
Phone: 734-407-2500    Fax: 313-792-8962
Nicole Renee Colleran, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 18501 Rotunda Dr Ste 100, Dearborn, MI 48124
Phone: 313-996-1951    

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.