Tanner Spade, DPT in Gillette, WY - Medicare Physical Therapist Provider

Tanner Spade, DPT is a medicare enrolled "Physical Therapist" provider in Gillette, Wyoming. His current practice location is 1211 S Douglas Hwy Ste 100, Gillette, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 670-9191.

Tanner Spade is licensed to practice in Wyoming (license number PT-1715) 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 1659961845.

Contact Information

	Tanner Spade, DPT
	1211 S Douglas Hwy Ste 100, Gillette, WY 82716-4982
	(307) 670-9191
	(307) 670-9193

Map and Direction

Healthcare Provider's Profile

Full Name	Tanner Spade
Gender	Male
Speciality	Physical Therapist
Location	1211 S Douglas Hwy Ste 100, Gillette, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659961845
Provider Enumeration Date: 01/21/2021
Last Update Date: 01/21/2021

Medicare PECOS Information:

PECOS PAC ID: 8921416769
Enrollment ID: I20210416000530

Medical Identifiers

Medical identifiers for Tanner Spade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659961845	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT-1715 (Wyoming)	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. Tanner Spade allows following entities to bill medicare on his behalf.

Provider Name	Hand Therapy Of Wyoming Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1083155972 PECOS PAC ID: 7416233259 Enrollment ID: O20170411000826

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. Tanner Spade 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
Tanner Spade, DPT 1211 S Douglas Hwy Ste 100, Gillette, WY 82716-4982 Ph: (307) 670-9191	Tanner Spade, DPT 1211 S Douglas Hwy Ste 100, Gillette, WY 82716-4982 Ph: (307) 670-9191

Reviews and Comments

Physical Therapist in Gillette, WY

Thomas Jake Andrew, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 508 Stocktrail Ave Ste D, Gillette, WY 82716 Phone: 307-688-8000
Cassidy R Drevlow, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1013 E Boxelder Rd Ste 100, Gillette, WY 82718 Phone: 307-682-4900
Andrew Nielsen, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1103 E Boxelder Rd Ste U, Gillette, WY 82718 Phone: 307-686-8177 Fax: 307-686-9484
Dr. Stephenie Jo Means, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 S Gillette Avenue Suite 603, Gillette, WY 82716 Phone: 307-696-6070 Fax: 307-682-4996
North Platte Physical Therapy Services Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 4j Ct, Gillette, WY 82716 Phone: 307-686-2569
Lee Colleen Sowada, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 603 S Gillette Ave, Gillette, WY 82716 Phone: 307-682-2500
Shelby Kline, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1211 S Douglas Hwy Ste 120, Gillette, WY 82716 Phone: 307-670-8111 Fax: 307-670-8113

Tanner Spade, DPT - Medicare Physical Therapist in Gillette, WY