Tammy Van Gorder, in Fairport, NY - Medicare Occupational Therapist Provider

Tammy Van Gorder, is a medicare enrolled "Occupational Therapist" provider in Fairport, New York. Her current practice location is 4646 Fairport Nine Mile Pt Rd, Fairport, New York. You can reach out to her office (for appointments etc.) via phone at (585) 377-0350.

Tammy Van Gorder is licensed to practice in * (Not Available) (license number ) 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 1609539436.

Contact Information

	Tammy Van Gorder,
	4646 Fairport Nine Mile Pt Rd, Fairport, NY 14450-1163
	(585) 377-0350
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tammy Van Gorder
Gender	Female
Speciality	Occupational Therapist
Location	4646 Fairport Nine Mile Pt Rd, Fairport, 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: 1609539436
Provider Enumeration Date: 10/19/2021
Last Update Date: 10/19/2021

Medicare PECOS Information:

PECOS PAC ID: 8729459219
Enrollment ID: I20230119002729

Medical Identifiers

Medical identifiers for Tammy Van Gorder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609539436	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	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. Tammy Van Gorder allows following entities to bill medicare on her behalf.

Provider Name	Onr National Speech Pathology Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972965952 PECOS PAC ID: 2668463522 Enrollment ID: O20211130000476

Provider Name	Select Pt, Ot & Slp Rehabilitation Ny, Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1457026353 PECOS PAC ID: 3870986656 Enrollment ID: O20220201000412

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. Tammy Van Gorder 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
Tammy Van Gorder, 5 Vanderberg Dr, Fairport, NY 14450-8427 Ph: (315) 783-7896	Tammy Van Gorder, 4646 Fairport Nine Mile Pt Rd, Fairport, NY 14450-1163 Ph: (585) 377-0350

Reviews and Comments

Occupational Therapist in Fairport, NY

Janice Ann Mccutchan, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 41 Oconnor Rd, Fairport, NY 14450 Phone: 585-586-1850
Jennifer Robertson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 Jefferson Ave, Fairport, NY 14450 Phone: 585-421-2185
Kira Hartley, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4646 Fairport Nine Mile Pt Rd, Fairport, NY 14450 Phone: 585-377-0350
Mrs. Lori Beth Weiss, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 42 Norbrook Rd, Fairport, NY 14450 Phone: 585-797-9366 Fax: 585-486-1230
Autumn Hogan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6745 Pittsford Palmyra Rd, Fairport, NY 14450 Phone: 585-223-3633
Mrs. Amy Hulbert, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 41 Oconnor Rd, Fairport, NY 14450 Phone: 585-383-6648
Amy Virginia Mikels, M.S. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 41 Oconnor Rd, Fairport, NY 14450 Phone: 585-383-2216

Tammy Van Gorder, - Medicare Occupational Therapist in Fairport, NY