Theresa M Gilliam, in Phoenix, AZ - Medicare Occupational Therapist Provider

Theresa M Gilliam, is a medicare enrolled "Occupational Therapist" provider in Phoenix, Arizona. Her current practice location is 124 W Thomas Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 406-6464.

Theresa M Gilliam is licensed to practice in Arizona (license number 0147) 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 1700946365.

Contact Information

	Theresa M Gilliam,
	124 W Thomas Rd, Phoenix, AZ 85013-4405
	(602) 406-6464
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Theresa M Gilliam
Gender	Female
Speciality	Occupational Therapist
Location	124 W Thomas Rd, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700946365
Provider Enumeration Date: 12/12/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6507018660
Enrollment ID: I20121218000559

Medical Identifiers

Medical identifiers for Theresa M Gilliam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700946365	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	0147 (Arizona)	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. Theresa M Gilliam allows following entities to bill medicare on her behalf.

Provider Name	District Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583

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. Theresa M Gilliam 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
Theresa M Gilliam, 3200 N Central Ave, Suite 900, Phoenix, AZ 85012-2425 Ph: (602) 406-3729	Theresa M Gilliam, 124 W Thomas Rd, Phoenix, AZ 85013-4405 Ph: (602) 406-6464

Reviews and Comments

Occupational Therapist in Phoenix, AZ

Rebecca Ebbert, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7540 N 19th Ave, Phoenix, AZ 85021 Phone: 888-873-4221 Fax: 888-543-2289
Kristina Nalder, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5314 N 7th St, Phoenix, AZ 85014 Phone: 602-277-5006
Tabitha Macziewski, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4600 E Shea Blvd, Suite 101, Phoenix, AZ 85028 Phone: 602-368-8601 Fax: 602-368-8605
Christina Hyland, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4641 N 12th St Ste 100, Phoenix, AZ 85014 Phone: 602-281-2896
Kristel Ferrer, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5025 E Washington St Ste 108, Phoenix, AZ 85034 Phone: 602-313-8999
Giovanna Martinez, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4125 N 14th St, Phoenix, AZ 85014 Phone: 602-882-5544
Courtney Boyce, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13201 S Wakial Loop Apt 1094, Phoenix, AZ 85044 Phone: 602-882-2345

Theresa M Gilliam, - Medicare Occupational Therapist in Phoenix, AZ