Mrs Melissa S Pettavino, PT, MPT in Covington, LA - Medicare Physical Therapist Provider

Mrs Melissa S Pettavino, PT, MPT is a medicare enrolled "Physical Therapist" provider in Covington, Louisiana. Her current practice location is 19105 Sandy Lane, Covington, Louisiana. You can reach out to her office (for appointments etc.) via phone at (985) 792-7700.

Mrs Melissa S Pettavino is licensed to practice in * (Not Available) (license number ) 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 1548391121.

Contact Information

	Mrs Melissa S Pettavino, PT, MPT
	19105 Sandy Lane, Covington, LA 70433
	(985) 792-7700
	(985) 247-8220

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Melissa S Pettavino
Gender	Female
Speciality	Physical Therapist
Location	19105 Sandy Lane, Covington, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548391121
Provider Enumeration Date: 03/08/2007
Last Update Date: 05/19/2022

Medicare PECOS Information:

PECOS PAC ID: 9234230335
Enrollment ID: I20070719000288

Medical Identifiers

Medical identifiers for Mrs Melissa S Pettavino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548391121	NPI	-	NPPES
1315795	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	04135 (Louisiana)	Secondary
225X00000X	Occupational Therapist	(* (Not Available))	Secondary
235Z00000X	Speech-language Pathologist	(* (Not Available))	Secondary
261QP2000X	Clinic/center - Physical Therapy	(Louisiana)	Secondary
225100000X	Physical Therapist	(* (Not Available))	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 Melissa S Pettavino allows following entities to bill medicare on her behalf.

Provider Name	Innovative Suit Therapy And Fitness, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1679715981 PECOS PAC ID: 3375695752 Enrollment ID: O20240206001951

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 Melissa S Pettavino 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 Melissa S Pettavino, PT, MPT 19105 Sandy Lane, Covington, LA 70433 Ph: (985) 792-7700	Mrs Melissa S Pettavino, PT, MPT 19105 Sandy Lane, Covington, LA 70433 Ph: (985) 792-7700

Reviews and Comments

Physical Therapist in Covington, LA

Austen Chase Dwight, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 E Boston St, Covington, LA 70433 Phone: 985-630-4489
Lea Anne Krieger, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19105 Sandy Ln, Covington, LA 70433 Phone: 985-792-7700
Laura Eckel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 653 Myrtle Dr, Covington, LA 70433 Phone: 985-893-4700 Fax: 985-893-3211
Christian Paul Stafford, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 70367 S Tyler St Suite 200, #21, Covington, LA 70433 Phone: 985-590-3303
Kevin Gilbert Baer, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 71121 Highway 21 Apt D, Covington, LA 70433 Phone: 985-898-3979 Fax: 985-898-3981
Crystal C. Ferris, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 Northpark Blvd, Suite 205, Covington, LA 70433 Phone: 985-871-7878
Jonathan Bonfiglio, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1201 Ochsner Blvd, Suite A, Covington, LA 70433 Phone: 985-801-7145 Fax: 985-801-7146

Mrs Melissa S Pettavino, PT, MPT - Medicare Physical Therapist in Covington, LA