Mrs Tamara Ann Surprenant, OTR/L is a medicare enrolled "Occupational Therapist" provider in Marcy, New York. Her current practice location is
9501 River Rd, Marcy, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 724-0683.
Mrs Tamara Ann Surprenant is licensed to practice in New York (license number 004395-1) 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 1710342001.
Healthcare Provider's Profile
| Full Name | Mrs Tamara Ann Surprenant |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 9501 River Rd, Marcy, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710342001
- Provider Enumeration Date: 12/31/2015
- Last Update Date: 01/26/2016
Medicare PECOS Information:
- PECOS PAC ID: 7012250079
- Enrollment ID: I20190515002635
Medical Identifiers
Medical identifiers for Mrs Tamara Ann Surprenant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710342001 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 004395-1 (New York) | 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 Tamara Ann Surprenant allows following entities to bill medicare on her behalf.
| Provider Name | State Of New York Comptrollers Office |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1750469912
PECOS PAC ID: 0840101770
Enrollment ID: O20190313000800 |
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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. Mrs Tamara Ann Surprenant 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 |
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Mrs Tamara Ann Surprenant, OTR/L
9501 River Rd,
Marcy, NY 13403-2074
Ph: (315) 724-0683 | Mrs Tamara Ann Surprenant, OTR/L
9501 River Rd,
Marcy, NY 13403-2074
Ph: (315) 724-0683 |
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