Tristan Zachary Lucy-speidel, DPT in Timonium, MD - Medicare Physical Therapist Provider

Tristan Zachary Lucy-speidel, DPT is a medicare enrolled "Physical Therapist" provider in Timonium, Maryland. His current practice location is 110 W Timonium Rd, Timonium, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 997-5476.

Tristan Zachary Lucy-speidel is licensed to practice in Maryland (license number 28984) 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 1629532197.

Contact Information

	Tristan Zachary Lucy-speidel, DPT
	110 W Timonium Rd, Timonium, MD 21093-7300
	(443) 997-5476
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tristan Zachary Lucy-speidel
Gender	Male
Speciality	Physical Therapist
Location	110 W Timonium Rd, Timonium, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629532197
Provider Enumeration Date: 01/29/2019
Last Update Date: 12/23/2024

Medicare PECOS Information:

PECOS PAC ID: 5092242131
Enrollment ID: I20241231001417

Medical Identifiers

Medical identifiers for Tristan Zachary Lucy-speidel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629532197	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	28984 (Maryland)	Primary
2255A2300X	Specialist/technologist - Athletic Trainer	T64435205 (Virgin Island)	Secondary

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 Zachary Lucy-speidel allows following entities to bill medicare on his behalf.

Provider Name	Johns Hopkins Community Physicians
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578598868 PECOS PAC ID: 8325943707 Enrollment ID: O20031220000065

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 Zachary Lucy-speidel 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 Zachary Lucy-speidel, DPT 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-0000	Tristan Zachary Lucy-speidel, DPT 110 W Timonium Rd, Timonium, MD 21093-7300 Ph: (443) 997-5476

Reviews and Comments

Physical Therapist in Timonium, MD

Regina N Shelley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: One Texas Station Ct, Suite 300, Timonium, MD 21093 Phone: 410-683-2110 Fax: 410-683-2115
Dr. Alicia Howard, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9492 Deereco Rd, Timonium, MD 21093 Phone: 410-308-7182 Fax: 410-308-7179
Lauren Fischer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 61 E Padonia Rd Ste E, Timonium, MD 21093 Phone: 410-371-3329
Mr. Jeremy Elliott Beyer, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2240 Greenspring Dr, Timonium, MD 21093 Phone: 410-989-3833
Mrs. Gina Elizabeth Hisky, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2240 Greenspring Dr, Timonium, MD 21093 Phone: 410-989-3833
Cheryl R Conrad, PT, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Greenspring Dr, Suite 100, Timonium, MD 21093 Phone: 410-560-3931 Fax: 410-560-0877
Mark W Trivett, PT, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1920 Greenspring Dr, Suite 100, Timonium, MD 21093 Phone: 410-560-3931 Fax: 410-560-0877

Tristan Zachary Lucy-speidel, DPT - Medicare Physical Therapist in Timonium, MD