Selamawit Fantaye, PT in Federal Way, WA - Medicare Physical Therapist Provider

Selamawit Fantaye, PT is a medicare enrolled "Physical Therapist" provider in Federal Way, Washington. Her current practice location is 32030 23rd Ave S, Federal Way, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 946-4852.

Selamawit Fantaye is licensed to practice in Washington (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588377832.

Contact Information

	Selamawit Fantaye, PT
	32030 23rd Ave S, Federal Way, WA 98003-6031
	(253) 946-4852
	(253) 946-4862

Map and Direction

Healthcare Provider's Profile

Full Name	Selamawit Fantaye
Gender	Female
Speciality	Physical Therapist
Location	32030 23rd Ave S, Federal Way, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588377832
Provider Enumeration Date: 01/03/2023
Last Update Date: 05/28/2024

Medicare PECOS Information:

PECOS PAC ID: 5991176679
Enrollment ID: I20230116000714

Medical Identifiers

Medical identifiers for Selamawit Fantaye such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588377832	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	LPT-32685 (Arizona)	Secondary
225100000X	Physical Therapist	(Washington)	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. Selamawit Fantaye allows following entities to bill medicare on her behalf.

Provider Name	Athlon Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1639236581 PECOS PAC ID: 9739281544 Enrollment ID: O20070226000475

Provider Name	Ati Holdings Of Arizona Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1871570309 PECOS PAC ID: 2466732862 Enrollment ID: O20161130001683

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. Selamawit Fantaye 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
Selamawit Fantaye, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Selamawit Fantaye, PT 32030 23rd Ave S, Federal Way, WA 98003-6031 Ph: (253) 946-4852

Reviews and Comments

Physical Therapist in Federal Way, WA

Mrs. Irene Davila-wittrock, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 33330 8th Ave S, Federal Way, WA 98003 Phone: 253-945-2086 Fax: 253-945-2177
Katelyn Blanchard, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1045 S 308th St, Federal Way, WA 98003 Phone: 253-946-2273
Daniel Thomas Price, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 909 S 336th St Ste 100, Federal Way, WA 98003 Phone: 253-661-5166
Erika Beebe, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 505 S 336th St Ste 140, Federal Way, WA 98003 Phone: 253-874-6620
Alexander Maszak, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 32030 23rd Ave S, Federal Way, WA 98003 Phone: 253-946-4852 Fax: 253-946-4862
Austin James Lujano, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 31653 Pacific Hwy S Ste B, Federal Way, WA 98003 Phone: 253-252-7137
Ann E. Jaeger, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 S 320th St, Federal Way, WA 98003 Phone: 253-874-7000

Selamawit Fantaye, PT - Medicare Physical Therapist in Federal Way, WA