Cody Petrowiak, in Fairmont, MN - Medicare Physical Therapist Provider

Cody Petrowiak, is a medicare enrolled "Physical Therapist" provider in Fairmont, Minnesota. His current practice location is 610 Summit Dr, Fairmont, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 235-6606.

Cody Petrowiak is licensed to practice in Minnesota (license number 13790) 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 1831996438.

Contact Information

	Cody Petrowiak,
	610 Summit Dr, Fairmont, MN 56031-2247
	(507) 235-6606
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cody Petrowiak
Gender	Male
Speciality	Physical Therapist
Location	610 Summit Dr, Fairmont, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831996438
Provider Enumeration Date: 03/01/2025
Last Update Date: 03/01/2025

Medicare PECOS Information:

PECOS PAC ID: 1052837507
Enrollment ID: I20250428002244

Medical Identifiers

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

Identifier	Type	State	Issuer
1831996438	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	13790 (Minnesota)	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 Petrowiak allows following entities to bill medicare on his behalf.

Provider Name	Blue Stone Therapy Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1932797297 PECOS PAC ID: 1850707787 Enrollment ID: O20221027000897

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 Petrowiak 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 Petrowiak, 610 Summit Dr, Fairmont, MN 56031-2247 Ph: () -	Cody Petrowiak, 610 Summit Dr, Fairmont, MN 56031-2247 Ph: (507) 235-6606

Reviews and Comments

Physical Therapist in Fairmont, MN

Dr. Catherine G Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8196
Jae Eccher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8196
James Richard Hitchcock, Physical Therapist Medicare: Medicare Enrolled Practice Location: 717 S State St, Suite 900, Fairmont, MN 56031 Phone: 507-238-4949 Fax: 507-238-3377
Mrs. Heather Duncan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Po Box 835, Fairmont, MN 56031 Phone: 507-238-8196
Bradley Lowell Musser, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 717 S State St Ste 900, Fairmont, MN 56031 Phone: 507-238-4949 Fax: 507-238-3365
Shelley Busche, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8196
Melissa Jean Sanvig, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8196

Cody Petrowiak, - Medicare Physical Therapist in Fairmont, MN