Tracy Broomell, DPT in Keizer, OR - Medicare Physical Therapist Provider

Tracy Broomell, DPT is a medicare enrolled "Physical Therapist" provider in Keizer, Oregon. Her current practice location is 4025 Cherry Ave Ne, Keizer, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 390-9009.

Tracy Broomell is licensed to practice in Oregon (license number 62970) 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 1861977530.

Contact Information

	Tracy Broomell, DPT
	4025 Cherry Ave Ne, Keizer, OR 97303-4859
	(503) 390-9009
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tracy Broomell
Gender	Female
Speciality	Physical Therapist
Location	4025 Cherry Ave Ne, Keizer, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861977530
Provider Enumeration Date: 09/28/2018
Last Update Date: 09/28/2018

Medicare PECOS Information:

PECOS PAC ID: 5799125332
Enrollment ID: I20240430003508

Medical Identifiers

Medical identifiers for Tracy Broomell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861977530	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501018836 (Michigan)	Secondary
225100000X	Physical Therapist	62970 (Oregon)	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. Tracy Broomell allows following entities to bill medicare on her behalf.

Provider Name	Fireweed Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1922795277 PECOS PAC ID: 6800251489 Enrollment ID: O20230504000449

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. Tracy Broomell 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
Tracy Broomell, DPT 7614 Ravenswood Dr, Portage, MI 49024-5020 Ph: (269) 501-8640	Tracy Broomell, DPT 4025 Cherry Ave Ne, Keizer, OR 97303-4859 Ph: (503) 390-9009

Reviews and Comments

Physical Therapist in Keizer, OR

Jean Jarbath, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5955 Shoreview Ln N Ste 100, Keizer, OR 97303 Phone: 503-463-4221 Fax: 503-463-4522
Ptconnect Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7468 Everwood St Ne, Keizer, OR 97303 Phone: 503-451-5058
Christian Phillips, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4025 Cherry Ave Ne, Keizer, OR 97303 Phone: 503-390-9009
Mrs. Kay Ellen Blachly, PT CHT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5825 Shoreview Ln N, Keizer, OR 97303 Phone: 503-540-6471 Fax: 503-540-6404
John Marshall Frey, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 121 Mcnary Estates Dr N, Suite B, Keizer, OR 97303 Phone: 503-463-4221 Fax: 503-463-4522
Brenden D Thompson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 109 Mcnary Estates Dr N, Keizer, OR 97303 Phone: 503-463-4231 Fax: 503-463-5175
Cody Lommen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5955 Shoreview Ln N, Ste. 100, Keizer, OR 97303 Phone: 503-463-4221 Fax: 503-463-4522

Tracy Broomell, DPT - Medicare Physical Therapist in Keizer, OR