Maxwell Petit, in Acworth, GA - Medicare Physical Therapist Provider

Maxwell Petit, is a medicare enrolled "Physical Therapist" provider in Acworth, Georgia. His current practice location is 4900 Ivey Rd Nw Ste 1001, Acworth, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 917-0924.

Maxwell Petit is licensed to practice in Tennessee (license number 12780) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467070748.

Contact Information

	Maxwell Petit,
	4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101-4106
	(770) 917-0924
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Maxwell Petit
Gender	Male
Speciality	Physical Therapist
Location	4900 Ivey Rd Nw Ste 1001, Acworth, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467070748
Provider Enumeration Date: 07/13/2020
Last Update Date: 07/13/2020

Medicare PECOS Information:

PECOS PAC ID: 5193188977
Enrollment ID: I20230825002972

Medical Identifiers

Medical identifiers for Maxwell Petit such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467070748	NPI	-	NPPES
12780	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12780 (Tennessee)	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. Maxwell Petit allows following entities to bill medicare on his behalf.

Provider Name	Bunker Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1922498922 PECOS PAC ID: 8729304829 Enrollment ID: O20210120001416

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. Maxwell Petit 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
Maxwell Petit, 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101-4106 Ph: () -	Maxwell Petit, 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101-4106 Ph: (770) 917-0924

Reviews and Comments

Physical Therapist in Acworth, GA

Justin Desandre, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101 Phone: 770-917-0924
Isabel Fabacher, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 Stanton Place Ln, Acworth, GA 30101 Phone: 248-982-5513
Mrs. Karissa Tippens, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3540 Cobb Pkwy Nw, Suite 200, Acworth, GA 30101 Phone: 678-501-6300 Fax: 678-384-3318
Jonathan Shaw, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3950 Cobb Pkwy Nw, Suite 703, Acworth, GA 30101 Phone: 770-917-0924 Fax: 770-917-0926
Jenna Dreyer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101 Phone: 770-917-0924 Fax: 770-917-0926
Mr. Justin Taylor Gorrell, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3540 Cobb Pkwy Nw, Ste 200, Acworth, GA 30101 Phone: 678-501-6300 Fax: 678-384-3318
Miss Erin Christine Golden, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Ivey Rd Nw, Suite 1001, Acworth, GA 30101 Phone: 770-917-0924 Fax: 770-917-0926

Maxwell Petit, - Medicare Physical Therapist in Acworth, GA