Tristan A Clements, DPT in Ponderay, ID - Medicare Physical Therapist In Private Practice Provider

Tristan A Clements, DPT is a medicare enrolled "Physical Therapist" provider in Ponderay, Idaho. He graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Custom Rehab Llc, Anew Day Physical Therapy Llc and his current practice location is 30544 Highway 200 Ste 326, Ponderay, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 205-9559.

Tristan A Clements is licensed to practice in Idaho (license number PT8566) 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 1467138636.

Contact Information

	Tristan A Clements, DPT
	30544 Highway 200 Ste 326, Ponderay, ID 83852-5042
	(208) 205-9559
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tristan A Clements
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	3 Years
Location	30544 Highway 200 Ste 326, Ponderay, Idaho
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:

Tristan A Clements graduated from medical school in 2023

NPI Data:

NPI Number: 1467138636
Provider Enumeration Date: 06/23/2023
Last Update Date: 05/04/2026

Medicare PECOS Information:

PECOS PAC ID: 0143689265
Enrollment ID: I20230707002525

Medical Identifiers

Medical identifiers for Tristan A Clements such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467138636	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT8566 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Custom Rehab Llc	4385811454	6
Anew Day Physical Therapy Llc	4385016815	2

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. Tristan A Clements allows following entities to bill medicare on his behalf.

Provider Name	Custom Rehab Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1215204862 PECOS PAC ID: 4385811454 Enrollment ID: O20120113000317

Provider Name	Kauai In-home Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235649625 PECOS PAC ID: 3274788138 Enrollment ID: O20171106002279

Provider Name	Wright Physical Therapy Limited Partnership
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1730732025 PECOS PAC ID: 1759612641 Enrollment ID: O20191007003583

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. Tristan A Clements 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
Tristan A Clements, DPT 1917 N Lakewood Dr, Coeur D Alene, ID 83814-2634 Ph: () -	Tristan A Clements, DPT 30544 Highway 200 Ste 326, Ponderay, ID 83852-5042 Ph: (208) 205-9559

Reviews and Comments

Physical Therapist in Ponderay, ID

Eden Hospice At The Inland Northwest, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 676 N Triangle Dr, Ponderay, ID 83852 Phone: 208-255-1640
Alice Loraine, DPT, OMS Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 210 Triangle Dr Ste E, Ponderay, ID 83852 Phone: 208-946-5364 Fax: 208-946-5364
Eric Demers, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30336 Highway 200 Ste B, Ponderay, ID 83852 Phone: 208-265-8333 Fax: 208-263-1394
Eden Home Health Of Sandpoint, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 676 N Triangle Dr, Ponderay, ID 83852 Phone: 208-255-1640
Benjamin Lusk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30544 Id-200, Ponderay, ID 83852 Phone: 208-205-9559 Fax: 808-431-4244
Brenda Kay Jerald, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 30544 Highway 200 Ste 326, Ponderay, ID 83852 Phone: 208-205-9559

Tristan A Clements, DPT - Medicare Physical Therapist in Ponderay, ID