Kyle Tanedo, in San Mateo, CA - Medicare Physical Therapist Provider

Kyle Tanedo, is a medicare enrolled "Physical Therapist" provider in San Mateo, California. His current practice location is 77 N San Mateo Dr, Suite 2, San Mateo, California. You can reach out to his office (for appointments etc.) via phone at (650) 652-2376.

Kyle Tanedo is licensed to practice in California (license number 291708) 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 1326593351.

Contact Information

	Kyle Tanedo,
	77 N San Mateo Dr, Suite 2, San Mateo, CA 94401-2889
	(650) 652-2376
	(650) 652-9097

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle Tanedo
Gender	Male
Speciality	Physical Therapist
Location	77 N San Mateo Dr, San Mateo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326593351
Provider Enumeration Date: 08/19/2016
Last Update Date: 08/19/2016

Medicare PECOS Information:

PECOS PAC ID: 5496042889
Enrollment ID: I20160928002908

Medical Identifiers

Medical identifiers for Kyle Tanedo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326593351	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	291708 (California)	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. Kyle Tanedo allows following entities to bill medicare on his behalf.

Provider Name	Corkish And Lew A Professional Physical Therapy Corporation
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1720274665 PECOS PAC ID: 3375626336 Enrollment ID: O20080213000697

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. Kyle Tanedo 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
Kyle Tanedo, 1860 El Camino Real, Suite 420, Burlingame, CA 94010-3127 Ph: (650) 652-2376	Kyle Tanedo, 77 N San Mateo Dr, Suite 2, San Mateo, CA 94401-2889 Ph: (650) 652-2376

Reviews and Comments

Physical Therapist in San Mateo, CA

Burlingame Therapeutic Associates Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Baywood Ave, Ste 1, San Mateo, CA 94402 Phone: 650-348-9400 Fax: 650-348-9402
Dr. Christina Nicole Goultas, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 S Claremont St Ste 106, San Mateo, CA 94402 Phone: 650-685-4800
Ms. Karen L Anderson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 136 N San Mateo Drive, Suite 201, San Mateo, CA 94401 Phone: 650-558-0247 Fax: 650-558-1735
Maria Theresa Geronimo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 N San Mateo Dr, Suite 2, San Mateo, CA 94401 Phone: 650-343-5678
Dana Jacobs, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Tower Rd, San Mateo, CA 94402 Phone: 650-312-8929
Physera Physical Therapy Group, Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Concar Dr, San Mateo, CA 94402 Phone: 650-409-1407 Fax: 800-991-2996
Cynthia Cohan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 S Amphlett Blvd Ste 108, San Mateo, CA 94402 Phone: 650-638-9142 Fax: 650-638-9141

Kyle Tanedo, - Medicare Physical Therapist in San Mateo, CA