Dr Makenzie Alyce Heisdorf, DPT in San Clemente, CA - Medicare Physical Therapist Provider

Dr Makenzie Alyce Heisdorf, DPT is a medicare enrolled "Physical Therapist" provider in San Clemente, California. Her current practice location is 653 Camino De Los Mares Ste 110, San Clemente, California. You can reach out to her office (for appointments etc.) via phone at (949) 496-0122.

Dr Makenzie Alyce Heisdorf is licensed to practice in California (license number PT27882) 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 1104861327.

Contact Information

	Dr Makenzie Alyce Heisdorf, DPT
	653 Camino De Los Mares Ste 110, San Clemente, CA 92673-2808
	(949) 496-0122
	(949) 496-5027

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Makenzie Alyce Heisdorf
Gender	Female
Speciality	Physical Therapist
Location	653 Camino De Los Mares Ste 110, San Clemente, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104861327
Provider Enumeration Date: 06/19/2006
Last Update Date: 12/14/2020

Medicare PECOS Information:

PECOS PAC ID: 5395998041
Enrollment ID: I20130109000419

Medical Identifiers

Medical identifiers for Dr Makenzie Alyce Heisdorf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104861327	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT27882 (California)	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 Makenzie Alyce Heisdorf allows following entities to bill medicare on her behalf.

Provider Name	Rancho Santa Margarita Physical Therapy Sports Medicine Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477653525 PECOS PAC ID: 2567360605 Enrollment ID: O20031226000328

Provider Name	Scor Physical Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881795375 PECOS PAC ID: 8729973730 Enrollment ID: O20040218000831

Provider Name	Cowell Health Services Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770994535 PECOS PAC ID: 3971724600 Enrollment ID: O20141022001864

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 Makenzie Alyce Heisdorf 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 Makenzie Alyce Heisdorf, DPT 653 Camino De Los Mares Ste 110, San Clemente, CA 92673-2808 Ph: (949) 496-0122	Dr Makenzie Alyce Heisdorf, DPT 653 Camino De Los Mares Ste 110, San Clemente, CA 92673-2808 Ph: (949) 496-0122

Reviews and Comments

Physical Therapist in San Clemente, CA

Jacqueline Michelle Alm, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673 Phone: 949-496-0122
Holly K Finley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 647 Camino De Los Mares Ste 111, San Clemente, CA 92673 Phone: 949-240-0600 Fax: 949-240-7578
Miss Allison Helen Tuten, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1000 Calle Amanecer, San Clemente, CA 92673 Phone: 949-498-5100
Alisha Marie Rodriguez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 Calle De Los Molinos, San Clemente, CA 92672 Phone: 949-388-5692
Roberta Rae Pennington, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 Via Callejon, Suite B, San Clemente, CA 92673 Phone: 949-498-5100
Mary M. Reischl, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1151 Puerta Del Sol, Suite B, San Clemente, CA 92673 Phone: 949-481-0015 Fax: 949-481-5611
Christina Virginia Howard, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 653 Camino De Los Mares, #110, San Clemente, CA 92673 Phone: 858-752-9422

Dr Makenzie Alyce Heisdorf, DPT - Medicare Physical Therapist in San Clemente, CA