Stephen Pietzak, in Smithtown, NY - Medicare Physical Therapist Provider

Stephen Pietzak, is a medicare enrolled "Physical Therapist" provider in Smithtown, New York. His current practice location is 309 E Middle Country Rd, Smithtown, New York. You can reach out to his office (for appointments etc.) via phone at (631) 656-5665.

Stephen Pietzak is licensed to practice in New York (license number 039578) 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 1912372731.

Contact Information

	Stephen Pietzak,
	309 E Middle Country Rd, Smithtown, NY 11787-2844
	(631) 656-5665
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephen Pietzak
Gender	Male
Speciality	Physical Therapist
Location	309 E Middle Country Rd, Smithtown, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912372731
Provider Enumeration Date: 12/04/2015
Last Update Date: 09/30/2024

Medicare PECOS Information:

PECOS PAC ID: 6103128905
Enrollment ID: I20220607000933

Medical Identifiers

Medical identifiers for Stephen Pietzak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912372731	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	039578 (New York)	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. Stephen Pietzak allows following entities to bill medicare on his behalf.

Provider Name	Ati Holdings Of Arizona Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1871570309 PECOS PAC ID: 2466732862 Enrollment ID: O20161130001683

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. Stephen Pietzak 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
Stephen Pietzak, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Stephen Pietzak, 309 E Middle Country Rd, Smithtown, NY 11787-2844 Ph: (631) 656-5665

Reviews and Comments

Physical Therapist in Smithtown, NY

Gold Coast Physical Therapy And Sports Training Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 309 Middle Country Road, Suite 202, Smithtown, NY 11787 Phone: 631-656-5665 Fax: 631-656-5664
Dr. Thomas Yarrobino, FNP, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 994 W Jericho Tpke Ste 104, Smithtown, NY 11787 Phone: 631-543-1440
Mrs. Mary Stavridis Mooney, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 66 Merrivale Dr, Smithtown, NY 11787 Phone: 631-265-3027
Dr. Craig A Banger, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Maple Ave, Smithtown, NY 11787 Phone: 631-265-8084 Fax: 631-265-8085
Lifestyle Physical Therapy, Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 309 E Main St, Ste 202, Smithtown, NY 11787 Phone: 631-360-0313
Ryan James Merrihue, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Maple Ave, Smithtown, NY 11787 Phone: 631-543-0004
Annmarie Rosina, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16 Dartmouth Dr, Smithtown, NY 11787 Phone: 631-375-8530 Fax: 631-780-6689

Stephen Pietzak, - Medicare Physical Therapist in Smithtown, NY