Cody Gawlitta, in Prescott, AZ - Medicare Physical Therapist Provider

Cody Gawlitta, is a medicare enrolled "Physical Therapist - Orthopedic" provider in Prescott, Arizona. His current practice location is 3117 Stillwater Dr, Prescott, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 442-0005.

Cody Gawlitta is licensed to practice in Arizona (license number LPT-33176) 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 1184406696.

Contact Information

	Cody Gawlitta,
	3117 Stillwater Dr, Prescott, AZ 86305-7164
	(928) 442-0005
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cody Gawlitta
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	3117 Stillwater Dr, Prescott, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184406696
Provider Enumeration Date: 10/18/2023
Last Update Date: 10/18/2023

Medicare PECOS Information:

PECOS PAC ID: 4284081753
Enrollment ID: I20231106003328

Medical Identifiers

Medical identifiers for Cody Gawlitta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184406696	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	LPT-33176 (Arizona)	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. Cody Gawlitta allows following entities to bill medicare on his behalf.

Provider Name	Center For Physical Excellence
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1093768020 PECOS PAC ID: 6901898725 Enrollment ID: O20040401000542

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. Cody Gawlitta 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
Cody Gawlitta, 25121 N 103rd Ave, Peoria, AZ 85383-2785 Ph: () -	Cody Gawlitta, 3117 Stillwater Dr, Prescott, AZ 86305-7164 Ph: (928) 442-0005

Reviews and Comments

Physical Therapist in Prescott, AZ

Jack C. Furr Iii, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1983 Commerce Center Circle, Prescott, AZ 86301 Phone: 928-771-1700 Fax: 928-771-9900
Dr. Darcy D Myers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3195 Stillwater Dr, Ste A, Prescott, AZ 86305 Phone: 928-771-8156
Dr. Damon John Grandy, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3117 Stillwater Dr, Prescott, AZ 86305 Phone: 928-442-0005
Mrs. Janelle Hicks Goligoski, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3117 Stillwater Dr, Prescott, AZ 86305 Phone: 928-442-0005
Dr. Mikaela F Colner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3117 Stillwater Dr, Prescott, AZ 86305 Phone: 928-442-0005
Christopher Cox Legler, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1320 W Iron Springs Rd, Prescott, AZ 86305 Phone: 928-771-2977 Fax: 928-771-2987
Center For Physical Excellence Physical Therapist Medicare: Medicare Enrolled Practice Location: 3117 Stillwater Drive, Prescott, AZ 86305 Phone: 928-442-0005 Fax: 928-442-0660

Cody Gawlitta, - Medicare Physical Therapist in Prescott, AZ