Dr Tyler Scott Lacertosa, OTD in Daytona Beach, FL - Medicare Occupational Therapist Provider

Dr Tyler Scott Lacertosa, OTD is a medicare enrolled "Occupational Therapist" provider in Daytona Beach, Florida. His current practice location is 201 N Clyde Morris Blvd Ste 300, Daytona Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 236-7017.

Dr Tyler Scott Lacertosa is licensed to practice in Florida (license number 18954) 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 1003316274.

Contact Information

	Dr Tyler Scott Lacertosa, OTD
	201 N Clyde Morris Blvd Ste 300, Daytona Beach, FL 32114-2765
	(386) 236-7017
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tyler Scott Lacertosa
Gender	Male
Speciality	Occupational Therapist
Location	201 N Clyde Morris Blvd Ste 300, Daytona Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003316274
Provider Enumeration Date: 02/14/2018
Last Update Date: 02/14/2018

Medicare PECOS Information:

PECOS PAC ID: 5799137535
Enrollment ID: I20240117003850

Medical Identifiers

Medical identifiers for Dr Tyler Scott Lacertosa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003316274	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	18954 (Florida)	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. Dr Tyler Scott Lacertosa allows following entities to bill medicare on his behalf.

Provider Name	Sobe Innovative Rehabilitation Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1164800595 PECOS PAC ID: 4789994336 Enrollment ID: O20151110002827

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. Dr Tyler Scott Lacertosa 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
Dr Tyler Scott Lacertosa, OTD 3901 University Blvd S, Jacksonville, FL 32216-4312 Ph: (904) 345-7336	Dr Tyler Scott Lacertosa, OTD 201 N Clyde Morris Blvd Ste 300, Daytona Beach, FL 32114-2765 Ph: (386) 236-7017

Reviews and Comments

Occupational Therapist in Daytona Beach, FL

Savannah Booker, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 570 National Health Care Dr, Daytona Beach, FL 32114 Phone: 386-238-3333
Deidre Ann Shimp, OCCUPATIONAL THERAPY Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1219 Dunn Ave, Daytona Beach, FL 32114 Phone: 386-255-4568 Fax: 386-252-3403
Mr. Kirk Andrew Denning, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 N Clyde Morris Blvd, Suite 300, Daytona Beach, FL 32114 Phone: 386-236-7017
Deborah G Neller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1219 Dunn Ave, Daytona Beach, FL 32114 Phone: 385-255-4568
Mrs. Delia Iris Gonzalez, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 211 N Ridgewood Ave Ste 300, Daytona Beach, FL 32114 Phone: 386-235-6080
Jessica Dailey, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1219 Dunn Ave, Daytona Beach, FL 32114 Phone: 386-255-4568

Dr Tyler Scott Lacertosa, OTD - Medicare Occupational Therapist in Daytona Beach, FL