Dr Ivan Tam, DPT in Nanuet, NY - Medicare Physical Therapist Provider

Dr Ivan Tam, DPT is a medicare enrolled "Physical Therapist" provider in Nanuet, New York. His current practice location is 412 Market St, Nanuet, New York. You can reach out to his office (for appointments etc.) via phone at (718) 552-7267.

Dr Ivan Tam is licensed to practice in New York (license number 047376) 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 1104581248.

Contact Information

	Dr Ivan Tam, DPT
	412 Market St, Nanuet, NY 10954-2744
	(718) 552-7267
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ivan Tam
Gender	Male
Speciality	Physical Therapist
Location	412 Market St, Nanuet, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104581248
Provider Enumeration Date: 11/03/2021
Last Update Date: 09/26/2025

Medicare PECOS Information:

PECOS PAC ID: 0547639718
Enrollment ID: I20221209000984

Medical Identifiers

Medical identifiers for Dr Ivan Tam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104581248	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA02326900 (New Jersey)	Secondary
225100000X	Physical Therapist	26504 (Massachusetts)	Secondary
225100000X	Physical Therapist	047376 (New York)	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 Ivan Tam allows following entities to bill medicare on his behalf.

Provider Name	Dg Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1295279198 PECOS PAC ID: 0143503680 Enrollment ID: O20170208000911

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 Ivan Tam 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 Ivan Tam, DPT 1831 Shore Pkwy, Brooklyn, NY 11214-6619 Ph: (718) 552-7267	Dr Ivan Tam, DPT 412 Market St, Nanuet, NY 10954-2744 Ph: (718) 552-7267

Reviews and Comments

Physical Therapist in Nanuet, NY

Gail S Bock-frankel, P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 36 College Ave, Nanuet, NY 10954 Phone: 845-627-8220 Fax: 845-215-9360
Mr. Sajan Augustine, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 65 Lake Nanuet Dr, Nanuet, NY 10954 Phone: 914-843-4155 Fax: 845-215-5623
Ms. Jennifer A. Mcnally, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7 Atlantic Ave, Nanuet, NY 10954 Phone: 845-215-5045 Fax: 845-624-0690
Ms. Leigh Mondello, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Pelham Ave, Nanuet, NY 10954 Phone: 845-215-5078
Matthew Braden Helleckson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 412 Market St, Nanuet, NY 10954 Phone: 914-370-8071
Tanvi V Manek, PT, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 412 Market St, Nanuet, NY 10954 Phone: 914-370-8071

Dr Ivan Tam, DPT - Medicare Physical Therapist in Nanuet, NY