Tyson Lee Shanholtzer, in Port Orchard, WA - Medicare Physical Therapist Provider

Tyson Lee Shanholtzer, is a medicare enrolled "Physical Therapist" provider in Port Orchard, Washington. His current practice location is 451 Sw Sedgwick Rd, Port Orchard, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 845-1801.

Tyson Lee Shanholtzer is licensed to practice in Washington (license number PT61472735) 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 1306629613.

Contact Information

	Tyson Lee Shanholtzer,
	451 Sw Sedgwick Rd, Port Orchard, WA 98367-6447
	(360) 845-1801
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyson Lee Shanholtzer
Gender	Male
Speciality	Physical Therapist
Location	451 Sw Sedgwick Rd, Port Orchard, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306629613
Provider Enumeration Date: 08/18/2023
Last Update Date: 08/18/2023

Medicare PECOS Information:

PECOS PAC ID: 4284080185
Enrollment ID: I20231030001339

Medical Identifiers

Medical identifiers for Tyson Lee Shanholtzer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306629613	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT61472735 (Washington)	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. Tyson Lee Shanholtzer allows following entities to bill medicare on his behalf.

Provider Name	Highline Physical Therapy Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477797991 PECOS PAC ID: 8820172984 Enrollment ID: O20090810000344

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. Tyson Lee Shanholtzer 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
Tyson Lee Shanholtzer, 451 Sw Sedgwick Rd, Port Orchard, WA 98367-6447 Ph: (360) 845-1801	Tyson Lee Shanholtzer, 451 Sw Sedgwick Rd, Port Orchard, WA 98367-6447 Ph: (360) 845-1801

Reviews and Comments

Physical Therapist in Port Orchard, WA

Kate Murphy, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1880 Pottery Ave Ste 100, Port Orchard, WA 98366 Phone: 360-895-9090
David Allan Hull, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4459 Se Mile Hill Dr, Port Orchard, WA 98366 Phone: 253-227-2253
Dr. Jamie Lee Stevens, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2051 Pottery Ave, Port Orchard, WA 98366 Phone: 360-876-4461
Christopher Jonathan Neal, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 451 Sw Sedgwick Rd Ste 310, Port Orchard, WA 98367 Phone: 951-696-9353 Fax: 951-973-7216
Mrs. Rhonda E. Law, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1880 Pottery Ave, Suite 100, Port Orchard, WA 98366 Phone: 360-895-9090 Fax: 360-895-9089
Marijke Augusta Edwards, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 463 Tremont St W Ste 100, Port Orchard, WA 98366 Phone: 360-874-0745 Fax: 360-874-0846
Nicole Marie Padmos, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9602 Sunburst Ct Se, Port Orchard, WA 98367 Phone: 360-731-9519

Tyson Lee Shanholtzer, - Medicare Physical Therapist in Port Orchard, WA