Stuart Brad Clontz, in Fort Worth, TX - Medicare Occupational Therapist Provider

Stuart Brad Clontz, is a medicare enrolled "Occupational Therapist" provider in Fort Worth, Texas. His current practice location is 5316 Trail Lake Dr, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 292-8787.

Stuart Brad Clontz is licensed to practice in Texas (license number 107885) 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 1770858110.

Contact Information

	Stuart Brad Clontz,
	5316 Trail Lake Dr, Fort Worth, TX 76133-1931
	(817) 292-8787
	(817) 789-6849

Map and Direction

Healthcare Provider's Profile

Full Name	Stuart Brad Clontz
Gender	Male
Speciality	Occupational Therapist
Location	5316 Trail Lake Dr, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770858110
Provider Enumeration Date: 03/19/2012
Last Update Date: 03/19/2012

Medicare PECOS Information:

PECOS PAC ID: 1254879984
Enrollment ID: I20240813003106

Medical Identifiers

Medical identifiers for Stuart Brad Clontz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770858110	NPI	-	NPPES
149984001	Medicaid	TX
207164901	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	107885 (Texas)	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. Stuart Brad Clontz allows following entities to bill medicare on his behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1942793534 PECOS PAC ID: 6507832573 Enrollment ID: O20190501002244

Provider Name	Empowerme Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1144954074 PECOS PAC ID: 2769723162 Enrollment ID: O20230127000420

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. Stuart Brad Clontz 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
Stuart Brad Clontz, 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 Ph: (817) 292-8787	Stuart Brad Clontz, 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 Ph: (817) 292-8787

Reviews and Comments

Occupational Therapist in Fort Worth, TX

Ms. Mary Cathrine Mckenzie, MOT/OTR, CPRCS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7217 Hawkins View Dr Ste 201, Fort Worth, TX 76132 Phone: 817-479-7019
Holly Christina Andrews, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5316 Trail Lake Dr, Fort Worth, TX 76133 Phone: 817-292-8787 Fax: 817-789-6489
Mrs. Sue Khammar, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4140 Tamworth Rd, Fort Worth, TX 76116 Phone: 817-386-5500 Fax: 817-386-5500
Danyelle Braelyn Huffaker, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8000 Calmont Ave, Fort Worth, TX 76116 Phone: 817-400-2273
Lauren Elizabeth Galipp, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Fort Worth, TX 76107 Phone: 817-335-3022
Katherine Moos, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5300 Altamesa Blvd, Fort Worth, TX 76133 Phone: 817-346-1800
Diane R Alfino, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 West Fwy, Suite 100, Fort Worth, TX 76102 Phone: 888-997-2669

Stuart Brad Clontz, - Medicare Occupational Therapist in Fort Worth, TX