Caroline Smith Petmecky, in Winder, GA - Medicare Physical Therapist Provider

Caroline Smith Petmecky, is a medicare enrolled "Physical Therapist" provider in Winder, Georgia. Her current practice location is 204 Resource Ln, Winder, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 963-0694.

Caroline Smith Petmecky is licensed to practice in Georgia (license number PT016155) 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 1225757461.

Contact Information

	Caroline Smith Petmecky,
	204 Resource Ln, Winder, GA 30680-8361
	(678) 963-0694
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Caroline Smith Petmecky
Gender	Female
Speciality	Physical Therapist
Location	204 Resource Ln, Winder, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225757461
Provider Enumeration Date: 08/23/2022
Last Update Date: 08/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5193262848
Enrollment ID: I20240731001384

Medical Identifiers

Medical identifiers for Caroline Smith Petmecky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225757461	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT016155 (Georgia)	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. Caroline Smith Petmecky allows following entities to bill medicare on her behalf.

Provider Name	Integrated Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326247248 PECOS PAC ID: 1153317300 Enrollment ID: O20040422000993

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. Caroline Smith Petmecky 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
Caroline Smith Petmecky, 204 Resource Ln, Winder, GA 30680-8361 Ph: (678) 963-0694	Caroline Smith Petmecky, 204 Resource Ln, Winder, GA 30680-8361 Ph: (678) 963-0694

Reviews and Comments

Physical Therapist in Winder, GA

Rodney Carter, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 429 Loganville Hwy Ste 110, Winder, GA 30680 Phone: 678-218-9203 Fax: 470-828-7003
Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 299 N Broad St, Winder, GA 30680 Phone: 770-867-9994
Brittany Creasy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 204 Resource Ln, Winder, GA 30680 Phone: 678-963-0694
Lacey Katelyn Lackey, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 429 Loganville Hwy Ste 110, Winder, GA 30680 Phone: 770-318-8030 Fax: 770-318-8031
Legacy Healthcare Services, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 901 Haymon Morris Rd, Winder, GA 30680 Phone: 678-705-2123
Mr. Joseph Avolio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 367 Resource Pkwy, Building 8 Unit B, Winder, GA 30680 Phone: 770-307-2199 Fax: 770-307-2199

Caroline Smith Petmecky, - Medicare Physical Therapist in Winder, GA