Dr Tanner Dean Hawk, PT, DPT, CSCS is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Phoenix, Arizona. His current practice location is
5723 S 30th Gln, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 544-0955.
Dr Tanner Dean Hawk is licensed to practice in Arizona (license number LPT30714) 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 1225698822.
Healthcare Provider's Profile
| Full Name | Dr Tanner Dean Hawk |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 5723 S 30th Gln, Phoenix, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225698822
- Provider Enumeration Date: 06/17/2019
- Last Update Date: 06/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 7517331648
- Enrollment ID: I20230313001653
Medical Identifiers
Medical identifiers for Dr Tanner Dean Hawk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225698822 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | LPT-030714 (Arizona) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | LPT30714 (Arizona) | 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 Tanner Dean Hawk allows following entities to bill medicare on his behalf.
| Provider Name | Capptcg, Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1922498500
PECOS PAC ID: 2668770157
Enrollment ID: O20160418000490 |
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| Provider Name | Hawk Pain And Performance Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1205647302
PECOS PAC ID: 5193255073
Enrollment ID: O20250206002812 |
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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. Dr Tanner Dean Hawk 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 Tanner Dean Hawk, PT, DPT, CSCS
5723 S 30th Gln,
Phoenix, AZ 85041-3528
Ph: (480) 544-0955 | Dr Tanner Dean Hawk, PT, DPT, CSCS
5723 S 30th Gln,
Phoenix, AZ 85041-3528
Ph: (480) 544-0955 |
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