Colleen Petranovich, PT, DPT in Phoenix, AZ - Medicare Physical Therapist Provider

Colleen Petranovich, PT, DPT is a medicare enrolled "Physical Therapist" provider in Phoenix, Arizona. Her current practice location is 1919 E Thomas Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 933-0500.

Colleen Petranovich is licensed to practice in Arizona (license number LPT-32535) 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 1780109454.

Contact Information

	Colleen Petranovich, PT, DPT
	1919 E Thomas Rd, Phoenix, AZ 85016-7710
	(602) 933-0500
	(602) 933-4320

Map and Direction

Healthcare Provider's Profile

Full Name	Colleen Petranovich
Gender	Female
Speciality	Physical Therapist
Location	1919 E Thomas Rd, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780109454
Provider Enumeration Date: 08/03/2017
Last Update Date: 08/15/2023

Medicare PECOS Information:

PECOS PAC ID: 2769845007
Enrollment ID: I20230904000265

Medical Identifiers

Medical identifiers for Colleen Petranovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780109454	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251P0200X	Physical Therapist - Pediatrics	5081 (New Mexico)	Secondary
225100000X	Physical Therapist	LPT-32535 (Arizona)	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. Colleen Petranovich allows following entities to bill medicare on her behalf.

Provider Name	Phoenix Children's Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704

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. Colleen Petranovich 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
Colleen Petranovich, PT, DPT 2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008 Ph: (602) 933-3124	Colleen Petranovich, PT, DPT 1919 E Thomas Rd, Phoenix, AZ 85016-7710 Ph: (602) 933-0500

Reviews and Comments

Physical Therapist in Phoenix, AZ

Mrs. Judith Savage Shoup, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10251 N 35th Ave, Phoenix, AZ 85051 Phone: 602-995-7366 Fax: 602-995-0867
Ms. Hillary Kristi Vance, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave, Building 8, Phoenix, AZ 85027 Phone: 623-594-9034 Fax: 623-594-9868
Dr. Sarah Buschmann, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5055 E Washington St, Phoenix, AZ 85034 Phone: 602-277-1073
Dr. Haley Dudzinski, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2942 N 7th Ave Ste A101, Phoenix, AZ 85013 Phone: 602-277-0084 Fax: 602-277-0885
Kendra Ann Scott, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 E Earll Dr Ste 360, Phoenix, AZ 85012 Phone: 480-788-5621 Fax: 480-779-1277
Dr. Taylor Wingstrom, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 41818 N Venture Dr Ste 120, Phoenix, AZ 85086 Phone: 623-742-7338
Steven Notaro, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2222 E Highland Ave Ste 310, Phoenix, AZ 85016 Phone: 602-512-8550

Colleen Petranovich, PT, DPT - Medicare Physical Therapist in Phoenix, AZ