Tanner Spade, DPT - Medicare Physical Therapist in Gillette, WY

Tanner Spade, DPT is a medicare enrolled "Physical Therapist" provider in Gillette, Wyoming. His current practice location is 1211 S Douglas Hwy Ste 100, Gillette, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 670-9191.

Tanner Spade is licensed to practice in Wyoming (license number PT-1715) 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 1659961845.

Contact Information

Tanner Spade, DPT
1211 S Douglas Hwy Ste 100,
Gillette, WY 82716-4982
(307) 670-9191
(307) 670-9193



Healthcare Provider's Profile

Full NameTanner Spade
GenderMale
SpecialityPhysical Therapist
Location1211 S Douglas Hwy Ste 100, Gillette, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659961845
  • Provider Enumeration Date: 01/21/2021
  • Last Update Date: 01/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8921416769
  • Enrollment ID: I20210416000530

Medical Identifiers

Medical identifiers for Tanner Spade such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659961845NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT-1715 (Wyoming)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. Tanner Spade allows following entities to bill medicare on his behalf.
Provider NameHand Therapy Of Wyoming Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1083155972
PECOS PAC ID: 7416233259
Enrollment ID: O20170411000826

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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. Tanner Spade 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
Tanner Spade, DPT
1211 S Douglas Hwy Ste 100,
Gillette, WY 82716-4982

Ph: (307) 670-9191
Tanner Spade, DPT
1211 S Douglas Hwy Ste 100,
Gillette, WY 82716-4982

Ph: (307) 670-9191

News Archive

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Children with hip and thigh implants designed to help heal a broken bone or correct other bone conditions are at risk for subsequent fractures of the very bones that the implants were intended to treat, according to new research from Johns Hopkins Children's Center.

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Physical Therapist in Gillette, WY

Thomas Jake Andrew, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 508 Stocktrail Ave Ste D, Gillette, WY 82716
Phone: 307-688-8000    
Cassidy R Drevlow, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1013 E Boxelder Rd Ste 100, Gillette, WY 82718
Phone: 307-682-4900    
Andrew Nielsen, PT, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1103 E Boxelder Rd Ste U, Gillette, WY 82718
Phone: 307-686-8177    Fax: 307-686-9484
Dr. Stephenie Jo Means, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 222 S Gillette Avenue Suite 603, Gillette, WY 82716
Phone: 307-696-6070    Fax: 307-682-4996
North Platte Physical Therapy Services Inc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 620 4j Ct, Gillette, WY 82716
Phone: 307-686-2569    
Lee Colleen Sowada, D.P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 603 S Gillette Ave, Gillette, WY 82716
Phone: 307-682-2500    
Shelby Kline, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1211 S Douglas Hwy Ste 120, Gillette, WY 82716
Phone: 307-670-8111    Fax: 307-670-8113

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