Keagan Tice, PT in University Place, WA - Medicare Physical Therapy Provider

Keagan Tice, PT is a medicare enrolled "Physical Therapist" provider in University Place, Washington. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Prevail Practices Pllc and his current practice location is 7727 40th St W Ste A, University Place, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 460-1362.

Keagan Tice is licensed to practice in Washington (license number PT61001367) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083265334.

Contact Information

	Keagan Tice, PT
	7727 40th St W Ste A, University Place, WA 98466-3146
	(253) 460-1362
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Keagan Tice
Gender	Male
Speciality	Physical Therapy
Experience	5 Years
Location	7727 40th St W Ste A, University Place, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keagan Tice graduated from medical school in 2019

NPI Data:

NPI Number: 1083265334
Provider Enumeration Date: 09/26/2019
Last Update Date: 09/26/2019

Medicare PECOS Information:

PECOS PAC ID: 7214360254
Enrollment ID: I20191205002657

Medical Identifiers

Medical identifiers for Keagan Tice such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083265334	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT61001367 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prevail Practices Pllc	2163781634	10

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. Keagan Tice allows following entities to bill medicare on his behalf.

Provider Name	Multicare Health System
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

Provider Name	Prevail Practices Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1740723915 PECOS PAC ID: 2163781634 Enrollment ID: O20180109002747

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. Keagan Tice 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
Keagan Tice, PT 6050 Tacoma Mall Blvd Ste 300, Tacoma, WA 98409-6828 Ph: (253) 581-5200	Keagan Tice, PT 7727 40th St W Ste A, University Place, WA 98466-3146 Ph: (253) 460-1362

Reviews and Comments

Physical Therapist in University Place, WA

Angel Rene Rodriguez, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7727 40th St W Ste A, University Place, WA 98466 Phone: 253-460-1362
Angelito Ancheta Mabini, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5322 Orchard St W, University Place, WA 98467 Phone: 253-476-3333 Fax: 253-476-3334
Ms. Teri Lynn Yap Yoshikawa, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9053 Ridgeview Cir W, University Place, WA 98466 Phone: 253-905-6174
Lida Joy Aspirin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 70th Ave W, Apt E4, University Place, WA 98466 Phone: 253-314-1215
Jade Graves, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2901 Bridgeport Way W, University Place, WA 98466 Phone: 253-343-3245
Rhonda Paige Martin, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7727 40th St W, Suite A, University Place, WA 98466 Phone: 253-460-1362 Fax: 253-460-6628

Keagan Tice, PT - Medicare Physical Therapist in University Place, WA