Mrs Mary Pezzella, DPT in Boulder, CO - Medicare Physical Therapist Provider

Mrs Mary Pezzella, DPT is a medicare enrolled "Physical Therapist" provider in Boulder, Colorado. Her current practice location is 2706 28th St, Boulder, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 444-1290.

Mrs Mary Pezzella is licensed to practice in Colorado (license number 19904) 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 1821844549.

Contact Information

	Mrs Mary Pezzella, DPT
	2706 28th St, Boulder, CO 80301-1222
	(303) 444-1290
	(303) 444-1837

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mary Pezzella
Gender	Female
Speciality	Physical Therapist
Location	2706 28th St, Boulder, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821844549
Provider Enumeration Date: 04/24/2024
Last Update Date: 10/25/2024

Medicare PECOS Information:

PECOS PAC ID: 0345682225
Enrollment ID: I20240523000875

Medical Identifiers

Medical identifiers for Mrs Mary Pezzella such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821844549	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	CP027484T (Colorado)	Secondary
225100000X	Physical Therapist	19904 (Colorado)	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. Mrs Mary Pezzella allows following entities to bill medicare on her behalf.

Provider Name	Panorama Orthopedics And Spine Center Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1295787950 PECOS PAC ID: 8426961087 Enrollment ID: O20031110000424

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. Mrs Mary Pezzella 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
Mrs Mary Pezzella, DPT 2706 28th St, Boulder, CO 80301-1222 Ph: (303) 444-1290	Mrs Mary Pezzella, DPT 2706 28th St, Boulder, CO 80301-1222 Ph: (303) 444-1290

Reviews and Comments

Physical Therapist in Boulder, CO

John D Reed, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3000 Center Green Dr Ste 110, Boulder, CO 80301 Phone: 303-413-9903 Fax: 303-413-9907
Mrs. Abigail Calkins Beattie, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5350 Manhattan Cir, #100, Boulder, CO 80303 Phone: 303-543-1201 Fax: 303-543-1206
Charlene M Urbancic, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3434 47th St, Suite 100, Boulder, CO 80301 Phone: 615-778-4066
Carol Cropp, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2935 Baseline Rd Ste 300, Boulder, CO 80303 Phone: 303-444-2951
Christine D Ringdahl, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 580 Mohawk Dr, Boulder, CO 80303 Phone: 303-338-4545
Chelsea A Speck, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2750 Broadway St, Boulder, CO 80304 Phone: 303-440-3034 Fax: 303-402-1665
North Boulder Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2750 Broadway St, Boulder, CO 80304 Phone: 303-440-3034 Fax: 303-402-1665

Mrs Mary Pezzella, DPT - Medicare Physical Therapist in Boulder, CO