Kathleen Petkovsky, PT/CHT is a medicare enrolled "Physical Therapist - Hand" provider in Higley, Arizona. Her current practice location is
1355 S Higley Rd, Suite 101, Higley, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 507-8080.
Kathleen Petkovsky is licensed to practice in Arizona (license number 1205) 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 1083669287.
Healthcare Provider's Profile
| Full Name | Kathleen Petkovsky |
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| Gender | Female |
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| Speciality | Physical Therapist - Hand |
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| Location | 1355 S Higley Rd, Higley, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083669287
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 03/14/2018
Medicare PECOS Information:
- PECOS PAC ID: 7416931258
- Enrollment ID: I20040617000892
Medical Identifiers
Medical identifiers for Kathleen Petkovsky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083669287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2251H1200X | Physical Therapist - Hand | 1205 (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. Kathleen Petkovsky allows following entities to bill medicare on her behalf.
| Provider Name | Industrial Hand And Physical Therapy Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1124035258
PECOS PAC ID: 8325937907
Enrollment ID: O20040311001464 |
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| Provider Name | Orthopedic Specialists Of North America Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1770812828
PECOS PAC ID: 7719014505
Enrollment ID: O20100428000061 |
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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. Kathleen Petkovsky 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 |
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Kathleen Petkovsky, PT/CHT
2845 S Piedra,
Mesa, AZ 85212-1519
Ph: () - | Kathleen Petkovsky, PT/CHT
1355 S Higley Rd, Suite 101,
Higley, AZ 85236
Ph: (480) 507-8080 |
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