Petra Godefrieda Mysiewicz, PT - Physical Therapist in Jackson, TN

Petra Godefrieda Mysiewicz, PT is a Physical Therapist based in Jackson, Tennessee. Petra Godefrieda Mysiewicz is licensed to practice in Tennessee (license number 2244) and her current practice location is 1535 Vann Dr, Jackson, Tennessee. She can be reached at her office (for appointments etc.) via phone at (731) 984-9962.

NPI number for Petra Godefrieda Mysiewicz is 1790304301 and her current mailing address is 1535 Vann Dr, Jackson, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790304301.

Contact Information

Petra Godefrieda Mysiewicz, PT
1535 Vann Dr,
Jackson, TN 38305-2095
(731) 984-9962
(731) 984-9941

Map and Direction




Healthcare Provider's Profile

Full NamePetra Godefrieda Mysiewicz
GenderFemale
SpecialityPhysical Therapist
Location1535 Vann Dr, Jackson, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790304301
  • Provider Enumeration Date: 04/14/2020
  • Last Update Date: 04/14/2020

Medical Identifiers

Medical identifiers for Petra Godefrieda Mysiewicz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790304301NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 2244 (Tennessee)Primary

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. Petra Godefrieda Mysiewicz is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Petra Godefrieda Mysiewicz, PT
1535 Vann Dr,
Jackson, TN 38305-2095

Ph: (731) 984-9962
Petra Godefrieda Mysiewicz, PT
1535 Vann Dr,
Jackson, TN 38305-2095

Ph: (731) 984-9962

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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