Tan Ta, in Mansfield, TX - Medicare Physical Therapist Provider

Tan Ta, is a medicare enrolled "Physical Therapist" provider in Mansfield, Texas. His current practice location is 3020 E Broad St Ste 112, Mansfield, Texas. You can reach out to his office (for appointments etc.) via phone at (682) 422-7580.

Tan Ta is licensed to practice in * (Not Available) (license number ) 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 1003678673.

Contact Information

	Tan Ta,
	3020 E Broad St Ste 112, Mansfield, TX 76063-6696
	(682) 422-7580
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tan Ta
Gender	Male
Speciality	Physical Therapist
Location	3020 E Broad St Ste 112, Mansfield, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003678673
Provider Enumeration Date: 01/29/2024
Last Update Date: 01/29/2024

Medicare PECOS Information:

PECOS PAC ID: 1850733940
Enrollment ID: I20240521001716

Medical Identifiers

Medical identifiers for Tan Ta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003678673	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Tan Ta allows following entities to bill medicare on his behalf.

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20190128000322

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. Tan Ta 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
Tan Ta, 3020 E Broad St Ste 112, Mansfield, TX 76063-6696 Ph: (682) 422-7580	Tan Ta, 3020 E Broad St Ste 112, Mansfield, TX 76063-6696 Ph: (682) 422-7580

Reviews and Comments

Physical Therapist in Mansfield, TX

Graham Easom, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 E Debbie Ln Ste 105, Mansfield, TX 76063 Phone: 817-483-1746
Carol A Bickers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E Debbie Ln, Mansfield, TX 76063 Phone: 877-385-4264
Ian Petri, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2801 E Broad St, Mansfield, TX 76063 Phone: 817-375-5200
Christina Trovela, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1748 E Broad St, Suite 120, Mansfield, TX 76063 Phone: 817-477-4567 Fax: 817-477-4591
Karen Raye Schmidt, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2851 Matlock Rd Ste 600, Mansfield, TX 76063 Phone: 817-473-6246 Fax: 817-473-2014
Aubrey Starnes, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2771 E Broad St Ste 211, Mansfield, TX 76063 Phone: 682-518-6263

Tan Ta, - Medicare Physical Therapist in Mansfield, TX