Ms Tammy Lynne Boruch, PT is a medicare enrolled "Physical Therapist" provider in Polo, Missouri. Her current practice location is
3750 Sw State Route T, Polo, Missouri. You can reach out to her office (for appointments etc.) via phone at
(816) 284-0928.
Ms Tammy Lynne Boruch is licensed to practice in Missouri (license number 01750) 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 1053624874.
Healthcare Provider's Profile
Full Name | Ms Tammy Lynne Boruch |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 3750 Sw State Route T, Polo, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053624874
- Provider Enumeration Date: 07/21/2010
- Last Update Date: 04/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739554098
- Enrollment ID: I20230419000706
Medical Identifiers
Medical identifiers for Ms Tammy Lynne Boruch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053624874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 01750 (Missouri) | 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. Ms Tammy Lynne Boruch allows following entities to bill medicare on her behalf.
Provider Name | Encore Rehabilitation Services Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1336896240 PECOS PAC ID: 8123403904 Enrollment ID: O20221114000295 |
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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. Ms Tammy Lynne Boruch 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 |
Ms Tammy Lynne Boruch, PT 3750 Sw State Route T, Polo, MO 64671-8713 Ph: (816) 284-0928 | Ms Tammy Lynne Boruch, PT 3750 Sw State Route T, Polo, MO 64671-8713 Ph: (816) 284-0928 |
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