Tyler Tompkins Sengamphan, DPT in Shoreline, WA - Medicare Physical Therapist Provider

Tyler Tompkins Sengamphan, DPT is a medicare enrolled "Physical Therapist" provider in Shoreline, Washington. His current practice location is 17012 Aurora Ave N Ste 101, Shoreline, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 788-8807.

Tyler Tompkins Sengamphan is licensed to practice in Washington (license number PT61420235) 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 1841978764.

Contact Information

	Tyler Tompkins Sengamphan, DPT
	17012 Aurora Ave N Ste 101, Shoreline, WA 98133-5315
	(206) 788-8807
	(206) 801-7780

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Tompkins Sengamphan
Gender	Male
Speciality	Physical Therapist
Location	17012 Aurora Ave N Ste 101, Shoreline, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841978764
Provider Enumeration Date: 07/10/2023
Last Update Date: 07/10/2023

Medicare PECOS Information:

PECOS PAC ID: 6901268408
Enrollment ID: I20230816000100

Medical Identifiers

Medical identifiers for Tyler Tompkins Sengamphan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841978764	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT61420235 (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. Tyler Tompkins Sengamphan allows following entities to bill medicare on his behalf.

Provider Name	Prevail Practices Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1740723915 PECOS PAC ID: 2163781634 Enrollment ID: O20180109002747

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. Tyler Tompkins Sengamphan 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
Tyler Tompkins Sengamphan, DPT 5507 Kenwood Pl N Apt 103, Seattle, WA 98103-5952 Ph: (425) 877-6045	Tyler Tompkins Sengamphan, DPT 17012 Aurora Ave N Ste 101, Shoreline, WA 98133-5315 Ph: (206) 788-8807

Reviews and Comments

Physical Therapist in Shoreline, WA

Zan Williams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19549 Burke Ave N, Shoreline, WA 98133 Phone: 206-310-4389
Mark Woods, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19500 Ballinger Way Ne Ste 110, Shoreline, WA 98155 Phone: 206-333-4047
Devin Langaker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19500 Ballinger Way Ne Ste 110, Shoreline, WA 98155 Phone: 206-333-4047
Jamie Maloy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20109 Aurora Ave N Ste 105, Shoreline, WA 98133 Phone: 206-801-7546
Dawn Dolobowsky, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1227 N 205th St, Shoreline, WA 98133 Phone: 206-546-2220
Grace Fuk Wai Ma, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19235 15th Ave Nw, Shoreline, WA 98177 Phone: 206-546-2666
Motus Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20109 Aurora Ave N Ste 105, Shoreline, WA 98133 Phone: 206-801-7546 Fax: 206-801-7547

Tyler Tompkins Sengamphan, DPT - Medicare Physical Therapist in Shoreline, WA