Mary Kim Tadda, - Medicare Physical Therapist in Evergreen, CO

Mary Kim Tadda, is a medicare enrolled "Physical Therapist" provider in Evergreen, Colorado. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Arapahoe Peak Physical Therapy, Llc and her current practice location is 30940 Stagecoach Blvd # 110, Evergreen, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 674-1594.

Mary Kim Tadda is licensed to practice in Colorado (license number 16846) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174157564.

Contact Information

Mary Kim Tadda,
30940 Stagecoach Blvd # 110,
Evergreen, CO 80439-7984
(303) 674-1594
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMary Kim Tadda
GenderFemale
SpecialityPhysical Therapy
Experience5 Years
Location30940 Stagecoach Blvd # 110, Evergreen, Colorado
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Kim Tadda graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1174157564
  • Provider Enumeration Date: 02/25/2020
  • Last Update Date: 02/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8123456134
  • Enrollment ID: I20200325000011

Medical Identifiers

Medical identifiers for Mary Kim Tadda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174157564NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 16846 (Colorado)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arapahoe Peak Physical Therapy, Llc17593184544

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. Mary Kim Tadda allows following entities to bill medicare on her behalf.
Provider NameArapahoe Peak Physical Therapy, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1164505541
PECOS PAC ID: 1759318454
Enrollment ID: O20050725000836
Provider NameEvergreen Physical Therapy Specialists, Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1801849641
PECOS PAC ID: 7113956327
Enrollment ID: O20050808001254

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. Mary Kim Tadda 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 AddressPractice Location Address
Mary Kim Tadda,
30940 Stagecoach Blvd # 110,
Evergreen, CO 80439-7984

Ph: () -
Mary Kim Tadda,
30940 Stagecoach Blvd # 110,
Evergreen, CO 80439-7984

Ph: (303) 674-1594

Reviews and Comments


Physical Therapist in Evergreen, CO

Tfl Provider Network Llc
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Practice Location: 30670 Sun Creek Dr, Evergreen, CO 80439
Phone: 303-674-9446    
Weslee David Thompson, DPT
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Medicare: Medicare Enrolled
Practice Location: 1262 Bergen Pkwy Unit E10, Evergreen, CO 80439
Phone: 303-674-7889    Fax: 303-674-8117
Ms. Carrie Diflumeri, M.P.T.
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 7027 Skunk Aly, Evergreen, CO 80439
Phone: 303-518-0439    
Jeannine Beebe Rauch, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 30940 Stagecoach Blvd, Suite E-110, Evergreen, CO 80439
Phone: 303-674-1594    
Ms. Elizabeth Passavent Kaufmann, PT
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Medicare: Not Enrolled in Medicare
Practice Location: 28934 Western Dr, Evergreen, CO 80439
Phone: 303-679-2550    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.