Tamara Dziadek, PT in Port Angeles, WA - Medicare Physical Therapist Provider

Tamara Dziadek, PT is a medicare enrolled "Physical Therapist - Geriatrics" provider in Port Angeles, Washington. Her current practice location is 1106 Hazel St, Port Angeles, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 417-9484.

Tamara Dziadek is licensed to practice in Washington (license number PT00006788) 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 1417956061.

Contact Information

	Tamara Dziadek, PT
	1106 Hazel St, Port Angeles, WA 98363-2302
	(360) 417-9484
	(360) 417-8826

Map and Direction

Healthcare Provider's Profile

Full Name	Tamara Dziadek
Gender	Female
Speciality	Physical Therapist - Geriatrics
Location	1106 Hazel St, Port Angeles, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417956061
Provider Enumeration Date: 07/16/2005
Last Update Date: 02/21/2015

Medicare PECOS Information:

PECOS PAC ID: 9234129321
Enrollment ID: I20200206000144

Medical Identifiers

Medical identifiers for Tamara Dziadek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417956061	NPI	-	NPPES
7093230	Medicaid	WA
P00209911	Other	WA	PALMETTO GBA RR MEDICAREB

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT00006788 (Washington)	Secondary
2251G0304X	Physical Therapist - Geriatrics	PT00006788 (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. Tamara Dziadek allows following entities to bill medicare on her behalf.

Provider Name	Willow Physical Therapy Limited
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831123165 PECOS PAC ID: 7719979400 Enrollment ID: O20040401001074

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. Tamara Dziadek 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
Tamara Dziadek, PT 1106 Hazel St, Port Angeles, WA 98363-2302 Ph: (360) 417-9484	Tamara Dziadek, PT 1106 Hazel St, Port Angeles, WA 98363-2302 Ph: (360) 417-9484

Reviews and Comments

Physical Therapist in Port Angeles, WA

Darren Thomas Chapman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 825 E 5th St, Port Angeles, WA 98362 Phone: 360-457-4916 Fax: 360-457-4916
Lisa Hu, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 N Chambers St, Port Angeles, WA 98362 Phone: 360-417-7324
Mrs. Jennifer Frymyer, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7000 Fax: 360-417-7715
Ms. Gail Alene Tate, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1114 Georgiana St, Port Angeles, WA 98362 Phone: 360-452-6216 Fax: 360-452-8765
Dianna L Waller, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7315 Fax: 360-452-3531
Marsha Ellen Melnick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1114 Georgiana St, Port Angeles, WA 98362 Phone: 360-452-6216 Fax: 360-452-8765
Eleanore Hafer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7315 Fax: 360-452-3531

Tamara Dziadek, PT - Medicare Physical Therapist in Port Angeles, WA