Carissa Hack, DPT, ATC - Medicare in Charlotte, NC

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Carissa Hack, DPT, ATC is a medicare enrolled "Specialist/technologist - Athletic Trainer" provider in Charlotte, North Carolina. Her current practice location is 449 N Wendover Rd # B, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 366-7723.

Carissa Hack is licensed to practice in Pennsylvania (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 1174028237.

Contact Information

Carissa Hack, DPT, ATC
449 N Wendover Rd # B,
Charlotte, NC 28211-1064
(704) 366-7723
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCarissa Hack
GenderFemale
SpecialitySpecialist/technologist - Athletic Trainer
Location449 N Wendover Rd # B, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174028237
  • Provider Enumeration Date: 03/29/2018
  • Last Update Date: 05/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1254700131
  • Enrollment ID: I20221215002595

Medical Identifiers

Medical identifiers for Carissa Hack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174028237NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist P21321 (North Carolina)Secondary
2255A2300XSpecialist/technologist - Athletic Trainer (Pennsylvania)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. Carissa Hack allows following entities to bill medicare on her behalf.
Provider NameGreg Otts Center For Physical Therapy And Sports Performance Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073835765
PECOS PAC ID: 3274661988
Enrollment ID: O20100517000233

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. Carissa Hack 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 AddressPractice Location Address
Carissa Hack, DPT, ATC
1319 Delane Ave Apt 6,
Charlotte, NC 28211-2539

Ph: (571) 239-3610		Carissa Hack, DPT, ATC
449 N Wendover Rd # B,
Charlotte, NC 28211-1064

Ph: (704) 366-7723

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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