Tanya L Indoe, PT is a medicare enrolled "Physical Therapist" provider in Coinjock, North Carolina. Her current practice location is
113 Emperors Isle, Coinjock, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 267-2401.
Tanya L Indoe is licensed to practice in North Carolina (license number 9337) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417013764.
Healthcare Provider's Profile
| Full Name | Tanya L Indoe |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 113 Emperors Isle, Coinjock, North Carolina |
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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: 1417013764
- Provider Enumeration Date: 12/29/2006
- Last Update Date: 09/23/2011
Medicare PECOS Information:
- PECOS PAC ID: 4981059029
- Enrollment ID: I20250113000396
Medical Identifiers
Medical identifiers for Tanya L Indoe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417013764 | NPI | - | NPPES |
| 56-2621643 | Other | NC | TAX ID # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 9337 (North Carolina) | 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. Tanya L Indoe allows following entities to bill medicare on her behalf.
| Provider Name | Select Physical Therapy Holdings Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1669432175
PECOS PAC ID: 9537076401
Enrollment ID: O20161201002068 |
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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. Tanya L Indoe 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 |
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Tanya L Indoe, PT
Po Box 93,
Coinjock, NC 27923-0093
Ph: (252) 267-2401 | Tanya L Indoe, PT
113 Emperors Isle,
Coinjock, NC 27923-9760
Ph: (252) 267-2401 |
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