Tamara Fuzailov, in Bronx, NY - Medicare Occupational Therapist Provider

Tamara Fuzailov, is a medicare enrolled "Occupational Therapist" provider in Bronx, New York. Her current practice location is 721 Melrose Ave, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (917) 753-8915.

Tamara Fuzailov is licensed to practice in New York (license number 024221) 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 1710523584.

Contact Information

	Tamara Fuzailov,
	721 Melrose Ave, Bronx, NY 10455-1121
	(917) 753-8915
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tamara Fuzailov
Gender	Female
Speciality	Occupational Therapist
Location	721 Melrose Ave, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710523584
Provider Enumeration Date: 11/26/2019
Last Update Date: 11/26/2019

Medicare PECOS Information:

PECOS PAC ID: 9931533940
Enrollment ID: I20191230000427

Medical Identifiers

Medical identifiers for Tamara Fuzailov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710523584	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	024221 (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. Tamara Fuzailov allows following entities to bill medicare on her behalf.

Provider Name	Optimal Rehabilitation Ot&pt Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1003108358 PECOS PAC ID: 2264602135 Enrollment ID: O20110901000164

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. Tamara Fuzailov 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
Tamara Fuzailov, 15340 78th Ave, Flushing, NY 11367-3439 Ph: (917) 753-8915	Tamara Fuzailov, 721 Melrose Ave, Bronx, NY 10455-1121 Ph: (917) 753-8915

Reviews and Comments

Occupational Therapist in Bronx, NY

Mrs. Criselda Jose, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1780 Dr Martin Luther King Jr Blvd, Bronx, NY 10453 Phone: 718-960-4400
Mrs. Sarah Jane Honorio Adriano-filatov, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1604 Edison Avenue Apt 2, Bronx, NY 10461 Phone: 347-221-4091
Leonardo Elizalde, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 817 E 180th St, Bronx, NY 10460 Phone: 718-355-9652 Fax: 718-220-6263
Brittany Michele Chandler, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 778 Forest Ave, Bronx, NY 10456 Phone: 718-665-5617
Eliana Cutler, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 475 W 250th St, Bronx, NY 10471 Phone: 718-549-4753
Ms. Robin Redenburg, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2838 Barkley Ave, Bronx, NY 10465 Phone: 718-791-6248
Ronen Samuels, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3053 Henry Hudson Pkwy, Bronx, NY 10463 Phone: 917-574-8341

Tamara Fuzailov, - Medicare Occupational Therapist in Bronx, NY