Tavin Deru, - Medicare Occupational Therapist in Brigham City, UT

Tavin Deru, is a medicare enrolled "Occupational Therapist" provider in Brigham City, Utah. His current practice location is 775 N 200 E, Brigham City, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 723-7777.

Tavin Deru is licensed to practice in Utah (license number 10429475-4201) 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 1790281418.

Contact Information

Tavin Deru,
775 N 200 E,
Brigham City, UT 84302-1303
(435) 723-7777
Not Available



Healthcare Provider's Profile

Full NameTavin Deru
GenderMale
SpecialityOccupational Therapist
Location775 N 200 E, Brigham City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790281418
  • Provider Enumeration Date: 04/02/2018
  • Last Update Date: 10/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8921456526
  • Enrollment ID: I20231120003323

Medical Identifiers

Medical identifiers for Tavin Deru such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790281418NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 10429475-4201 (Utah)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. Tavin Deru allows following entities to bill medicare on his behalf.
Provider NameIndependence Rehab Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1063781813
PECOS PAC ID: 0143478453
Enrollment ID: O20120911000750

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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. Tavin Deru 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 AddressPractice Location Address
Tavin Deru,
206 N 2100 W,
Salt Lake City, UT 84116-4740

Ph: () -
Tavin Deru,
775 N 200 E,
Brigham City, UT 84302-1303

Ph: (435) 723-7777

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Occupational Therapist in Brigham City, UT

Jacob Raymond Bryan, MOTR L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 815 S 200 W, Brigham City, UT 84302
Phone: 435-723-5289    Fax: 435-723-0579
Summit Hand Therapy
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1030 Medical Dr Ste B, Brigham City, UT 84302
Phone: 801-866-9766    Fax: 801-773-1553
Jamie Mcintosh, OT
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 984 Medical Dr Ste 3, Brigham City, UT 84302
Phone: 435-239-8104    Fax: 435-239-8415

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