Dr Peter Theodore Hetzler Iii, MD, MHS in Washington, DC - Medicare Student in an Organized Health Care Education/Training Program

Dr Peter Theodore Hetzler Iii, MD, MHS is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Washington, District Of Columbia. His current practice location is 3800 Reservoir Rd Nw Dept Of, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at (202) 444-7563.

Dr Peter Theodore Hetzler Iii 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 1437619293.

Contact Information

	Dr Peter Theodore Hetzler Iii, MD, MHS
	3800 Reservoir Rd Nw Dept Of, Washington, DC 20007-2113
	(202) 444-7563
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Peter Theodore Hetzler Iii
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	3800 Reservoir Rd Nw Dept Of, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437619293
Provider Enumeration Date: 03/20/2019
Last Update Date: 04/29/2024

Medicare PECOS Information:

PECOS PAC ID: 9133661903
Enrollment ID: I20240607001770

Medical Identifiers

Medical identifiers for Dr Peter Theodore Hetzler Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437619293	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	0101281009 (Virginia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (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. Dr Peter Theodore Hetzler Iii allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210226002383

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. Dr Peter Theodore Hetzler Iii 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
Dr Peter Theodore Hetzler Iii, MD, MHS 3800 Reservoir Rd Nw Dept Of, Washington, DC 20007-2113 Ph: () -	Dr Peter Theodore Hetzler Iii, MD, MHS 3800 Reservoir Rd Nw Dept Of, Washington, DC 20007-2113 Ph: (202) 444-7563

Dr Peter Theodore Hetzler Iii, MD, MHS - Medicare Student in an Organized Health Care Education/Training Program in Washington, DC