Tyler Ishimoto, DPT in Makawao, HI - Medicare Physical Therapist Provider

Tyler Ishimoto, DPT is a medicare enrolled "Physical Therapist" provider in Makawao, Hawaii. His current practice location is 1043 Makawao Ave, Makawao, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 572-7790.

Tyler Ishimoto is licensed to practice in Hawaii (license number T-001086412) 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 1548043672.

Contact Information

	Tyler Ishimoto, DPT
	1043 Makawao Ave, Makawao, HI 96768-9465
	(808) 572-7790
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Ishimoto
Gender	Male
Speciality	Physical Therapist
Location	1043 Makawao Ave, Makawao, Hawaii
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548043672
Provider Enumeration Date: 08/14/2023
Last Update Date: 08/14/2023

Medicare PECOS Information:

PECOS PAC ID: 9638525223
Enrollment ID: I20231102003076

Medical Identifiers

Medical identifiers for Tyler Ishimoto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548043672	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	T-001086412 (Hawaii)	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. Tyler Ishimoto allows following entities to bill medicare on his behalf.

Provider Name	Elite Physical Therapy And Sports
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235180811 PECOS PAC ID: 6709890429 Enrollment ID: O20060202000272

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. Tyler Ishimoto 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
Tyler Ishimoto, DPT 11 Kaweo Pl, Kula, HI 96790-7939 Ph: (808) 854-4288	Tyler Ishimoto, DPT 1043 Makawao Ave, Makawao, HI 96768-9465 Ph: (808) 572-7790

Reviews and Comments

Physical Therapist in Makawao, HI

Suzanne Michelle Nagy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 87 Hoolai Drive, Makawao, Makawao, HI 96768 Phone: 808-281-4556
Jordan Butay, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 81 Makawao Ave Ste 110, Makawao, HI 96768 Phone: 808-572-2281 Fax: 808-573-5869
Optimal Physical Therapy,llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 87 Hoolai St, Makawao, HI 96768 Phone: 808-281-4556 Fax: 808-572-0113
Olakino Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 81 Makawao Ave Ste 110, Makawao, HI 96768 Phone: 808-572-2281 Fax: 808-573-5869
Dr. Abel Corona, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 81 Makawao Ave Ste 110, Makawao, HI 96768 Phone: 808-572-2281 Fax: 808-573-5869
Sheryl L Carter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 81 Makawao Ave, Suite 110, Makawao, HI 96768 Phone: 808-572-2281
Elite Physical Therapy And Sports Physical Therapist Medicare: Medicare Enrolled Practice Location: 1043 Makawao Ave, Suite 107, Makawao, HI 96768 Phone: 808-572-7790 Fax: 808-573-4721

Tyler Ishimoto, DPT - Medicare Physical Therapist in Makawao, HI