Amanda Alexis Mazza, DPT in Lagrange, GA - Medicare Physical Therapist Provider

Amanda Alexis Mazza, DPT is a medicare enrolled "Physical Therapist" provider in Lagrange, Georgia. Her current practice location is 1805 Vernon Rd Ste A, Lagrange, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 845-9383.

Amanda Alexis Mazza 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 1851029268.

Contact Information

	Amanda Alexis Mazza, DPT
	1805 Vernon Rd Ste A, Lagrange, GA 30240-3871
	(706) 845-9383
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Alexis Mazza
Gender	Female
Speciality	Physical Therapist
Location	1805 Vernon Rd Ste A, Lagrange, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851029268
Provider Enumeration Date: 08/12/2022
Last Update Date: 08/12/2022

Medicare PECOS Information:

PECOS PAC ID: 0547644494
Enrollment ID: I20220826001849

Medical Identifiers

Medical identifiers for Amanda Alexis Mazza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851029268	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
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. Amanda Alexis Mazza allows following entities to bill medicare on her behalf.

Provider Name	Southern Rehab And Sports Medicine, Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1215167515 PECOS PAC ID: 4385790211 Enrollment ID: O20090918000076

Provider Name	P4 Physical Therapy Limited Partnership
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1609570498 PECOS PAC ID: 3779950647 Enrollment ID: O20230711001762

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. Amanda Alexis Mazza 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
Amanda Alexis Mazza, DPT 237 Cecil Way, Mcdonough, GA 30252-7432 Ph: (570) 878-3643	Amanda Alexis Mazza, DPT 1805 Vernon Rd Ste A, Lagrange, GA 30240-3871 Ph: (706) 845-9383

Reviews and Comments

Physical Therapist in Lagrange, GA

Drayton Thomas Perkins, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 107 Calumet Center Rd, Lagrange, GA 30241 Phone: 706-884-3274 Fax: 706-882-2940
Dr. Joshua Young Davis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-845-3677 Fax: 706-845-3700
Joanne Robben, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1805 Vernon Rd, Suite A, Lagrange, GA 30240 Phone: 706-845-9383 Fax: 706-845-9482
Mr. Timothy Eugene Moore, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Calumet Center Rd, Lagrange, GA 30241 Phone: 706-884-3274 Fax: 706-882-2940
Amy Purdy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1075 Lafayette Pkwy, Lagrange, GA 30241 Phone: 706-350-1338
Khianna Anthony, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 112 Kia Dr Ste B, Lagrange, GA 30241 Phone: 706-668-6336
David J Buuck, PT DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1805 Vernon Rd Ste A, Lagrange, GA 30240 Phone: 706-845-9383

Amanda Alexis Mazza, DPT - Medicare Physical Therapist in Lagrange, GA