Tavin Deru, in Brigham City, UT - Medicare Occupational Therapist Provider

Tavin Deru, is a medicare enrolled "Occupational Therapist" provider in Brigham City, Utah. His current practice location is 775 N 200 E, Brigham City, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 723-7777.

Tavin Deru is licensed to practice in Utah (license number 10429475-4201) 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 1790281418.

Contact Information

	Tavin Deru,
	775 N 200 E, Brigham City, UT 84302-1303
	(435) 723-7777
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tavin Deru
Gender	Male
Speciality	Occupational Therapist
Location	775 N 200 E, Brigham City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790281418
Provider Enumeration Date: 04/02/2018
Last Update Date: 10/24/2021

Medicare PECOS Information:

PECOS PAC ID: 8921456526
Enrollment ID: I20231120003323

Medical Identifiers

Medical identifiers for Tavin Deru such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790281418	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	10429475-4201 (Utah)	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. Tavin Deru allows following entities to bill medicare on his behalf.

Provider Name	Independence Rehab Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1063781813 PECOS PAC ID: 0143478453 Enrollment ID: O20120911000750

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. Tavin Deru 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
Tavin Deru, 206 N 2100 W, Salt Lake City, UT 84116-4740 Ph: () -	Tavin Deru, 775 N 200 E, Brigham City, UT 84302-1303 Ph: (435) 723-7777

Reviews and Comments

Occupational Therapist in Brigham City, UT

Jacob Raymond Bryan, MOTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 S 200 W, Brigham City, UT 84302 Phone: 435-723-5289 Fax: 435-723-0579
Summit Hand Therapy Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1030 Medical Dr Ste B, Brigham City, UT 84302 Phone: 801-866-9766 Fax: 801-773-1553
Jamie Mcintosh, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 984 Medical Dr Ste 3, Brigham City, UT 84302 Phone: 435-239-8104 Fax: 435-239-8415

Tavin Deru, - Medicare Occupational Therapist in Brigham City, UT