Mr Stacey Allen Hathcock, DPT in Cordele, GA - Medicare Physical Therapy Provider

Mr Stacey Allen Hathcock, DPT is a medicare enrolled "Physical Therapist" provider in Cordele, Georgia. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Southwest Georgia Rehab Inc and his current practice location is 307 Third Avenue, Crisp Regional Therapies, Cordele, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 271-4612.

Mr Stacey Allen Hathcock is licensed to practice in Georgia (license number 5830) 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 1083816243.

Contact Information

	Mr Stacey Allen Hathcock, DPT
	307 Third Avenue, Crisp Regional Therapies, Cordele, GA 31015
	(229) 271-4612
	(229) 271-4616

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Stacey Allen Hathcock
Gender	Male
Speciality	Physical Therapy
Experience	22 Years
Location	307 Third Avenue, Cordele, Georgia
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:

Mr Stacey Allen Hathcock graduated from medical school in 2002

NPI Data:

NPI Number: 1083816243
Provider Enumeration Date: 06/01/2007
Last Update Date: 12/10/2009

Medicare PECOS Information:

PECOS PAC ID: 7416082474
Enrollment ID: I20100316000246

Medical Identifiers

Medical identifiers for Mr Stacey Allen Hathcock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083816243	NPI	-	NPPES
474753088A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5830 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southwest Georgia Rehab Inc	6204966740	15

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. Mr Stacey Allen Hathcock allows following entities to bill medicare on his behalf.

Provider Name	Southwest Georgia Rehab Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902120587 PECOS PAC ID: 6204966740 Enrollment ID: O20100610000420

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. Mr Stacey Allen Hathcock 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
Mr Stacey Allen Hathcock, DPT 274 Eastwood Lake Dr, Cordele, GA 31015-5933 Ph: (229) 271-3760	Mr Stacey Allen Hathcock, DPT 307 Third Avenue, Crisp Regional Therapies, Cordele, GA 31015 Ph: (229) 271-4612

Reviews and Comments

Physical Therapist in Cordele, GA

Katherine Hashimoto, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 307 E 3rd Ave, Cordele, GA 31015 Phone: 229-271-4612
Mrs. Kameron Mckinley Causey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 307 East 3rd Avenue, Cordele, GA 31015 Phone: 229-271-4612 Fax: 229-271-4616
Kevin Hughes, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 307 E 3rd Ave, Cordele, GA 31015 Phone: 229-271-4612
Karlie Ingram Mixon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1107 Greer St, Cordele, GA 31015 Phone: 229-273-2445
Autumn Suzanne Tripp, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Greer St, Cordele, GA 31015 Phone: 229-207-4004
Leah Lanier, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1107 Greer St Ste A-b, Cordele, GA 31015 Phone: 229-273-9445

Mr Stacey Allen Hathcock, DPT - Medicare Physical Therapist in Cordele, GA