Clint Francis Tudahl, PT in Lakewood, CO - Medicare Physical Therapist Provider

Clint Francis Tudahl, PT is a medicare enrolled "Physical Therapist" provider in Lakewood, Colorado. His current practice location is 3255 S Wadsworth Blvd Ste A-2, Lakewood, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 993-4438.

Clint Francis Tudahl is licensed to practice in Colorado (license number 17290) 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 1003410846.

Contact Information

	Clint Francis Tudahl, PT
	3255 S Wadsworth Blvd Ste A-2, Lakewood, CO 80227-5026
	(303) 993-4438
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Clint Francis Tudahl
Gender	Male
Speciality	Physical Therapist
Location	3255 S Wadsworth Blvd Ste A-2, Lakewood, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003410846
Provider Enumeration Date: 11/23/2020
Last Update Date: 11/23/2020

Medicare PECOS Information:

PECOS PAC ID: 7719399237
Enrollment ID: I20201207001878

Medical Identifiers

Medical identifiers for Clint Francis Tudahl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003410846	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	17290 (Colorado)	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. Clint Francis Tudahl allows following entities to bill medicare on his behalf.

Provider Name	Panorama Orthopedics And Spine Center Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1295787950 PECOS PAC ID: 8426961087 Enrollment ID: O20031110000424

Provider Name	Colorado Physio Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1164939955 PECOS PAC ID: 9931462736 Enrollment ID: O20180409001778

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. Clint Francis Tudahl 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
Clint Francis Tudahl, PT 3255 S Wadsworth Blvd Ste A-2, Lakewood, CO 80227-5026 Ph: (303) 993-4438	Clint Francis Tudahl, PT 3255 S Wadsworth Blvd Ste A-2, Lakewood, CO 80227-5026 Ph: (303) 993-4438

Reviews and Comments

Physical Therapist in Lakewood, CO

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Taylor Amy Claydon, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3255 S Wadsworth Blvd Ste A-2, Lakewood, CO 80227 Phone: 303-993-4438 Fax: 303-993-4817
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Clint Francis Tudahl, PT - Medicare Physical Therapist in Lakewood, CO