Dr Angela Kaye Moore Tanaka, DPT - Medicare Physical Therapist in St George, UT

Dr Angela Kaye Moore Tanaka, DPT is a medicare enrolled "Physical Therapist" provider in St George, Utah. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Physical Therapy. Her current practice location is 352 E Riverside Dr Ste A6, St George, Utah. You can reach out to her office (for appointments etc.) via phone at (204) 355-7934.

Dr Angela Kaye Moore Tanaka is licensed to practice in Idaho (license number PT-2022) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053498543.

Contact Information

Dr Angela Kaye Moore Tanaka, DPT
352 E Riverside Dr Ste A6,
St George, UT 84790-6999
(204) 355-7934
(435) 213-2691



Healthcare Provider's Profile

Full NameDr Angela Kaye Moore Tanaka
GenderFemale
SpecialityPhysical Therapy
Experience22 Years
Location352 E Riverside Dr Ste A6, St George, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Angela Kaye Moore Tanaka graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1053498543
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 07/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7810096492
  • Enrollment ID: I20210525003050

Medical Identifiers

Medical identifiers for Dr Angela Kaye Moore Tanaka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053498543NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT-2022 (Idaho)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. Dr Angela Kaye Moore Tanaka allows following entities to bill medicare on her behalf.
Provider NameDynamic Physical Therapy & Wellness Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1942894316
PECOS PAC ID: 4880093822
Enrollment ID: O20210525001791

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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. Dr Angela Kaye Moore Tanaka 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 AddressPractice Location Address
Dr Angela Kaye Moore Tanaka, DPT
3068 Swaps Dr,
St George, UT 84790-7468

Ph: (435) 579-3494
Dr Angela Kaye Moore Tanaka, DPT
352 E Riverside Dr Ste A6,
St George, UT 84790-6999

Ph: (204) 355-7934

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Physical Therapist in St George, UT

Jed Hurst, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 652 S Medical Center Drive #ll-10, St George, UT 84790
Phone: 435-251-2250    Fax: 435-251-2255
Michael Locke Ettinger,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1380 E Medical Center Dr, St George, UT 84790
Phone: 435-251-1000    Fax: 435-688-4002
Southwest Neurological Rehabilitation Center
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 301 N 200 E, 3e, St George, UT 84770
Phone: 435-628-5194    
Kirk L Terry, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 736 South 900 East, St George, UT 84790
Phone: 435-673-2781    Fax: 435-652-8555
Trevor W Pettingill, MPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 555 S Bluff St Ste 102, St George, UT 84770
Phone: 435-215-1866    Fax: 435-215-1844
Matthew Oakden,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 652 S Medical Center Dr Lowr Level, St George, UT 84790
Phone: 435-251-2250    Fax: 435-251-2255
Mr. Stephen Jason Tomlinson, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1424 E Foremaster Dr Ste 120, St George, UT 84790
Phone: 435-656-8800    Fax: 435-627-1809

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