William Tucker, OTR is a medicare enrolled "Occupational Therapist" provider in Columbus, Kansas. His current practice location is
101 Lee Ave, Columbus, Kansas. You can reach out to his office (for appointments etc.) via phone at
(615) 896-6400.
William Tucker is licensed to practice in Kansas (license number 17-01695) 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 1730390154.
Healthcare Provider's Profile
| Full Name | William Tucker |
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| Gender | Male |
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| Speciality | Occupational Therapist |
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| Location | 101 Lee Ave, Columbus, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730390154
- Provider Enumeration Date: 05/25/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0547217572
- Enrollment ID: I20050401000604
Medical Identifiers
Medical identifiers for William Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730390154 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 17-01695 (Kansas) | Primary |
| 225X00000X | Occupational Therapist | 143050 (Missouri) | Secondary |
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. William Tucker allows following entities to bill medicare on his behalf.
| Provider Name | Minds Matter, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1679617955
PECOS PAC ID: 2466641816
Enrollment ID: O20151023002412 |
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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. William Tucker 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 |
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William Tucker, OTR
112 Briarwood Dr,
Carl Junction, MO 64834
Ph: (417) 649-0707 | William Tucker, OTR
101 Lee Ave,
Columbus, KS 66725-1021
Ph: (615) 896-6400 |
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