Tessa Caroleen Dedominic, OTR/L in Missoula, MT - Medicare Occupational Therapy Provider

Tessa Caroleen Dedominic, OTR/L is a medicare enrolled "Occupational Therapist" provider in Missoula, Montana. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Moving Mountains Therapy Center, Pllc and her current practice location is 3031 S Russell St Ste B, Missoula, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 396-4130.

Tessa Caroleen Dedominic is licensed to practice in Maryland (license number 08064) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790292415.

Contact Information

	Tessa Caroleen Dedominic, OTR/L
	3031 S Russell St Ste B, Missoula, MT 59801-8523
	(406) 396-4130
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tessa Caroleen Dedominic
Gender	Female
Speciality	Occupational Therapy
Experience	8 Years
Location	3031 S Russell St Ste B, Missoula, Montana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tessa Caroleen Dedominic graduated from medical school in 2016

NPI Data:

NPI Number: 1790292415
Provider Enumeration Date: 01/03/2018
Last Update Date: 12/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3577964824
Enrollment ID: I20210624002029

Medical Identifiers

Medical identifiers for Tessa Caroleen Dedominic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790292415	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	08064 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Moving Mountains Therapy Center, Pllc	6709298276	3

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. Tessa Caroleen Dedominic allows following entities to bill medicare on her behalf.

Provider Name	Eat Move Grow Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1255889846 PECOS PAC ID: 4082980081 Enrollment ID: O20171018003002

Provider Name	Moving Mountains Therapy Center, Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1528526894 PECOS PAC ID: 6709298276 Enrollment ID: O20201208001336

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. Tessa Caroleen Dedominic 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
Tessa Caroleen Dedominic, OTR/L 3031 S Russell St Ste B, Missoula, MT 59801-8523 Ph: (406) 396-4130	Tessa Caroleen Dedominic, OTR/L 3031 S Russell St Ste B, Missoula, MT 59801-8523 Ph: (406) 396-4130

Reviews and Comments

Occupational Therapist in Missoula, MT

Thomas Richter, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2965 Stockyard Rd, Missoula, MT 59808 Phone: 406-541-2606
Sage Hill Therapy Services Pc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Sw Higgins Ave, Missoula, MT 59803 Phone: 406-360-2068 Fax: 406-777-5621
Kendra Rae Nickol, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2321 S 3rd St W # 1332, Missoula, MT 59801 Phone: 406-214-3131
Melissa Haidle, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1301 E Broadway St, Missoula, MT 59802 Phone: 406-721-0680
Sarah Moore, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Sw Higgins Ave, Missoula, MT 59803 Phone: 406-552-1480
Catherine C Forzley, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2651 South Ave W, Missoula, MT 59804 Phone: 406-728-9162
Mrs. Patricia Ann Delaney, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4718 23rd Ave, Suite 500, Missoula, MT 59803 Phone: 406-626-0400 Fax: 406-626-0401

Tessa Caroleen Dedominic, OTR/L - Medicare Occupational Therapist in Missoula, MT