Michael Petrak, PT in Pleasanton, CA - Medicare Physical Therapy Provider

Michael Petrak, PT is a medicare enrolled "Physical Therapist" provider in Pleasanton, California. He graduated from medical school in 2002 and has 23 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Ida L Coryell Hirst and his current practice location is 7090 Johnson Dr, Pleasanton, California. You can reach out to his office (for appointments etc.) via phone at (925) 227-8555.

Michael Petrak is licensed to practice in California (license number 28036) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942235684.

Contact Information

	Michael Petrak, PT
	7090 Johnson Dr, Pleasanton, CA 94588-3328
	(925) 227-8555
	(925) 227-8558

Map and Direction

Healthcare Provider's Profile

Full Name	Michael Petrak
Gender	Male
Speciality	Physical Therapy
Experience	23 Years
Location	7090 Johnson Dr, Pleasanton, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael Petrak graduated from medical school in 2002

NPI Data:

NPI Number: 1942235684
Provider Enumeration Date: 07/11/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4486814837
Enrollment ID: I20120322000457

Medical Identifiers

Medical identifiers for Michael Petrak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942235684	NPI	-	NPPES
0PT280380	Other	CA	BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	28036 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ida L Coryell Hirst	5890761514	6

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. Michael Petrak allows following entities to bill medicare on his behalf.

Provider Name	Ida L Coryell Hirst
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1861494031 PECOS PAC ID: 5890761514 Enrollment ID: O20040903000606

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. Michael Petrak 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
Michael Petrak, PT 2296 Country Dr, Fremont, CA 94536-5315 Ph: (510) 797-9299	Michael Petrak, PT 7090 Johnson Dr, Pleasanton, CA 94588-3328 Ph: (925) 227-8555

Reviews and Comments

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Michael Petrak, PT - Medicare Physical Therapist in Pleasanton, CA