Spencer Thomas Cushman, in Vail, AZ - Medicare Physical Therapist Provider

Spencer Thomas Cushman, is a medicare enrolled "Physical Therapist" provider in Vail, Arizona. His current practice location is 13370 E Mary Ann Cleveland Way Ste 130, Vail, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 689-7144.

Spencer Thomas Cushman is licensed to practice in Colorado (license number PTL.0020450) 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 1093490203.

Contact Information

	Spencer Thomas Cushman,
	13370 E Mary Ann Cleveland Way Ste 130, Vail, AZ 85641-8611
	(520) 689-7144
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Spencer Thomas Cushman
Gender	Male
Speciality	Physical Therapist
Location	13370 E Mary Ann Cleveland Way Ste 130, Vail, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093490203
Provider Enumeration Date: 06/16/2023
Last Update Date: 04/02/2025

Medicare PECOS Information:

PECOS PAC ID: 7113388877
Enrollment ID: I20230728000852

Medical Identifiers

Medical identifiers for Spencer Thomas Cushman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093490203	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305215852 (Virginia)	Secondary
225100000X	Physical Therapist	PTL.0020450 (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. Spencer Thomas Cushman allows following entities to bill medicare on his behalf.

Provider Name	Jackson Clinics Limited Partnership
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1639594831 PECOS PAC ID: 2860623295 Enrollment ID: O20140423000896

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. Spencer Thomas Cushman 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
Spencer Thomas Cushman, 420 E 120th Ave, Northglenn, CO 80233-1127 Ph: (303) 280-3838	Spencer Thomas Cushman, 13370 E Mary Ann Cleveland Way Ste 130, Vail, AZ 85641-8611 Ph: (520) 689-7144

Reviews and Comments

Physical Therapist in Vail, AZ

Stacie Periclos, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13801 E Benson Hwy, Vail, AZ 85641 Phone: 520-879-2052
Karmae Rose Henseler, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13370 E Mary Ann Cleveland Way Ste 130, Vail, AZ 85641 Phone: 520-689-7144
Shannon Murphy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13801 E Benson Hwy, Vail, AZ 85641 Phone: 520-879-2084
Susan S Ducklow, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13370 E Mary Ann Cleveland Way Ste 130, Vail, AZ 85641 Phone: 520-689-7144

Spencer Thomas Cushman, - Medicare Physical Therapist in Vail, AZ