Chad Tyler Winn, DPT is a medicare enrolled "Physical Therapist" provider in Edwards Afb, California. His current practice location is
30 Nightingale Road, Edwards Afb, California. You can reach out to his office (for appointments etc.) via phone at
(661) 277-3891.
Chad Tyler Winn is licensed to practice in Maine (license number PT6648) 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 1720708274.
Healthcare Provider's Profile
| Full Name | Chad Tyler Winn |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 30 Nightingale Road, Edwards Afb, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720708274
- Provider Enumeration Date: 09/02/2022
- Last Update Date: 03/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597141952
- Enrollment ID: I20221007002860
Medical Identifiers
Medical identifiers for Chad Tyler Winn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720708274 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 5051 (New Hampshire) | Secondary |
| 225100000X | Physical Therapist | 29183 (Maryland) | Secondary |
| 225100000X | Physical Therapist | PT6648 (Maine) | 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. Chad Tyler Winn allows following entities to bill medicare on his behalf.
| Provider Name | Glen Burnie Physical Therapy & Sportscare Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1679630073
PECOS PAC ID: 0042102592
Enrollment ID: O20040329000584 |
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| Provider Name | Maryland Sportscare & Rehab Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1518951995
PECOS PAC ID: 2860440427
Enrollment ID: O20151113000065 |
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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. Chad Tyler Winn 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 |
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Chad Tyler Winn, DPT
1042 Lovell Way,
Edwards, CA 93523-2626
Ph: (603) 812-8597 | Chad Tyler Winn, DPT
30 Nightingale Road,
Edwards Afb, CA 93524-4423
Ph: (661) 277-3891 |
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