Hannah Brooke Zak, PT, DPT is a medicare enrolled "Physical Therapist" physician in Fort Wayne, Indiana. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Thomas A Brady Sports Medicine Ctr and her current practice location is
3946 Ice Way, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at
(260) 266-7400.
Hannah Brooke Zak is licensed to practice in Indiana (license number 05014209A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265002620.
Physician's Profile
| Full Name | Hannah Brooke Zak |
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| Gender | Female |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 4 Years |
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| Location | 3946 Ice Way, Fort Wayne, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Hannah Brooke Zak graduated from medical school in 2021
NPI Data:
- NPI Number: 1265002620
- Provider Enumeration Date: 06/29/2021
- Last Update Date: 08/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931503216
- Enrollment ID: I20210809002246
Medical Identifiers
Medical identifiers for Hannah Brooke Zak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265002620 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 05014209A (Indiana) | Secondary |
| 225100000X | Physical Therapist | 05014209A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Thomas A Brady Sports Medicine Ctr | 5991609281 | 88 |
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. Hannah Brooke Zak allows following entities to bill medicare on her behalf.
| Entity Name | Thomas A Brady Sports Medicine Ctr |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467484212
PECOS PAC ID: 5991609281
Enrollment ID: O20031119000777 |
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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. Hannah Brooke Zak 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 |
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Hannah Brooke Zak, PT, DPT
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701
Ph: () - | Hannah Brooke Zak, PT, DPT
3946 Ice Way,
Fort Wayne, IN 46805-1018
Ph: (260) 266-7400 |
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