Ty A Childers, PT in Bloomington, IN - Medicare Physical Therapist Provider

Ty A Childers, PT is a medicare enrolled "Physical Therapist" provider in Bloomington, Indiana. His current practice location is 2605 E Creeks Edge Dr, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 333-2663.

Ty A Childers is licensed to practice in Indiana (license number 05010631A) 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 1245577063.

Contact Information

	Ty A Childers, PT
	2605 E Creeks Edge Dr, Bloomington, IN 47401-8368
	(812) 333-2663
	(812) 676-4131

Map and Direction

Healthcare Provider's Profile

Full Name	Ty A Childers
Gender	Male
Speciality	Physical Therapist
Location	2605 E Creeks Edge Dr, Bloomington, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245577063
Provider Enumeration Date: 01/14/2013
Last Update Date: 02/09/2024

Medicare PECOS Information:

PECOS PAC ID: 8224344023
Enrollment ID: I20150824002046

Medical Identifiers

Medical identifiers for Ty A Childers such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245577063	NPI	-	NPPES
090540922	Other	IN	MEDICARE PTAN
201308360	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	05010631A (Indiana)	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. Ty A Childers allows following entities to bill medicare on his behalf.

Provider Name	Indiana University Health Southern Indiana Physicians Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556

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. Ty A Childers 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
Ty A Childers, PT 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Ty A Childers, PT 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 Ph: (812) 333-2663

Reviews and Comments

Physical Therapist in Bloomington, IN

Katharine M Albright, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1155 S College Mall Rd Ste A, Bloomington, IN 47401 Phone: 812-558-3356
Ms. Elizabeth M Heltz, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2488 S Walnut St, Bloomington, IN 47401 Phone: 812-287-8044 Fax: 812-650-3178
Hannah Harpenau, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4651 W Vernal Pike, Bloomington, IN 47404 Phone: 812-332-7529
Elise A White, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3243 W 3rd St, Bloomington, IN 47404 Phone: 812-668-1880 Fax: 812-668-1881
Mrs. Heather Anne Jastremski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3211 E Moores Pike, Bloomington, IN 47401 Phone: 812-334-7604 Fax: 812-334-7705
Amanda J Clark, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1312 W Arch Haven Ave Bldg 1320, Suite E, Bloomington, IN 47403 Phone: 812-336-8406 Fax: 812-336-8342
Katherine Spencer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3243 W 3rd St, Bloomington, IN 47404 Phone: 812-668-1880 Fax: 812-668-1881

Ty A Childers, PT - Medicare Physical Therapist in Bloomington, IN