Tyler L Vanderzanden, PT in Appleton, WI - Medicare Physical Therapist Provider

Tyler L Vanderzanden, PT is a medicare enrolled "Physical Therapist" provider in Appleton, Wisconsin. His current practice location is 2105 E Enterprise Ave, Suite 113, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 991-2561.

Tyler L Vanderzanden is licensed to practice in Wisconsin (license number 11975-24) 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 1992049175.

Contact Information

	Tyler L Vanderzanden, PT
	2105 E Enterprise Ave, Suite 113, Appleton, WI 54913-7862
	(920) 991-2561
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler L Vanderzanden
Gender	Male
Speciality	Physical Therapist
Location	2105 E Enterprise Ave, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992049175
Provider Enumeration Date: 11/12/2012
Last Update Date: 11/12/2012

Medicare PECOS Information:

PECOS PAC ID: 1951554245
Enrollment ID: I20230623001397

Medical Identifiers

Medical identifiers for Tyler L Vanderzanden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992049175	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11975-24 (Wisconsin)	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. Tyler L Vanderzanden allows following entities to bill medicare on his behalf.

Provider Name	Pathfinder Physical Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922549484 PECOS PAC ID: 9234407495 Enrollment ID: O20170613001305

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. Tyler L Vanderzanden 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
Tyler L Vanderzanden, PT 2105 E Enterprise Ave, Suite 113, Appleton, WI 54913-7862 Ph: (920) 991-2561	Tyler L Vanderzanden, PT 2105 E Enterprise Ave, Suite 113, Appleton, WI 54913-7862 Ph: (920) 991-2561

Reviews and Comments

Physical Therapist in Appleton, WI

Orthopedic & Spine Therapy Of Menasha Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 N Providence Ave, Appleton, WI 54913 Phone: 920-257-2000
Ms. Jennifer Lynn Nevinski, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N496 Milky Way, Appleton, WI 54915 Phone: 920-738-2960
Chandler Riem, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2105 N Enterprise Ave, Appleton, WI 54913 Phone: 920-560-1000
Kathleen M. Vandrunen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2915 N Meade St, Appleton, WI 54911 Phone: 920-831-8711
Mrs. Lisa Katherine Buehler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3375 W Brewster St, Appleton, WI 54914 Phone: 920-749-5870
David Michael Denell, MPT LAT/C Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-4101
Richelle Ag Fenter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 S Kensington Drive, Appleton, WI 54915 Phone: 920-738-0200 Fax: 920-738-0383

Tyler L Vanderzanden, PT - Medicare Physical Therapist in Appleton, WI