Larry Sidney Tanner, RPT - Medicare Physical Therapist in Shawnee, OK

Larry Sidney Tanner, RPT is a medicare enrolled "Physical Therapist" provider in Shawnee, Oklahoma. His current practice location is 1519 N Oklahoma Ave, Shawnee, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 919-0135.

Larry Sidney Tanner is licensed to practice in Oklahoma (license number PT1807) 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 1336368018.

Contact Information

Larry Sidney Tanner, RPT
1519 N Oklahoma Ave,
Shawnee, OK 74804-3848
(405) 919-0135
(405) 273-7084



Healthcare Provider's Profile

Full NameLarry Sidney Tanner
GenderMale
SpecialityPhysical Therapist
Location1519 N Oklahoma Ave, Shawnee, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336368018
  • Provider Enumeration Date: 04/24/2007
  • Last Update Date: 01/15/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0345588539
  • Enrollment ID: I20190213002599

Medical Identifiers

Medical identifiers for Larry Sidney Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336368018NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT1807 (Oklahoma)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. Larry Sidney Tanner allows following entities to bill medicare on his behalf.
Provider NameShawnee Medical Center Clinic, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1881648285
PECOS PAC ID: 3870405434
Enrollment ID: O20031103000239

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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. Larry Sidney Tanner 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
Larry Sidney Tanner, RPT
8809 S Sooner Rd, Ste E,
Oklahoma City, OK 73135-6605

Ph: (405) 919-0135
Larry Sidney Tanner, RPT
1519 N Oklahoma Ave,
Shawnee, OK 74804-3848

Ph: (405) 919-0135

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Pacific Edge (PEB), a New Zealand-based biomedical company, today announced the successful completion of the European clinical trial for their prognostic gene signature for colorectal cancer. The clinical trial results showed a successful outcome that enables patients diagnosed with UICC stage II or UICC stage III colorectal cancer and with a high risk of disease progression to be identified and treated more appropriately.

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Physical Therapist in Shawnee, OK

Mr. Joe Kent Whitt, RPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2105 N Beard St, Shawnee, OK 74804
Phone: 405-990-5961    Fax: 405-214-6299
Laura Rachal,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 2506 N Harrison St, Shawnee, OK 74804
Phone: 405-214-0300    
Mr. Scott K. Howard, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 4901 N Kickapoo Ave Ste 1556, Shawnee, OK 74804
Phone: 405-214-9808    Fax: 405-214-9389
Jennifer Leigh James, B.S., P.T.
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3306 N Kickapoo Ave, Suite 200, Shawnee, OK 74804
Phone: 405-609-3675    Fax: 800-506-3795
Shakira Judeh, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1712 Hunters Ridge Dr, Shawnee, OK 74804
Phone: 405-275-1668    Fax: 405-275-1668
Breanna Rochelle Edenborough, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 4651 N Harrison St, Shawnee, OK 74804
Phone: 405-214-1524    Fax: 405-395-5653
Caitlyn Horn,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2506 N Harrison St, Shawnee, OK 74804
Phone: 405-214-0300    Fax: 405-214-0301

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