Dr Kali Ann Hietpas, DPT in Wake Forest, NC - Medicare Physical Therapist Provider

Dr Kali Ann Hietpas, DPT is a medicare enrolled "Physical Therapist" provider in Wake Forest, North Carolina. Her current practice location is 900 S Franklin St Ste 201, Wake Forest, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 556-1700.

Dr Kali Ann Hietpas is licensed to practice in North Carolina (license number P22362) 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 1497428171.

Contact Information

	Dr Kali Ann Hietpas, DPT
	900 S Franklin St Ste 201, Wake Forest, NC 27587-2799
	(919) 556-1700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kali Ann Hietpas
Gender	Female
Speciality	Physical Therapist
Location	900 S Franklin St Ste 201, Wake Forest, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497428171
Provider Enumeration Date: 07/28/2021
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 2860897816
Enrollment ID: I20210830000993

Medical Identifiers

Medical identifiers for Dr Kali Ann Hietpas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497428171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12241 (Minnesota)	Secondary
225100000X	Physical Therapist	P22362 (North Carolina)	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. Dr Kali Ann Hietpas allows following entities to bill medicare on her behalf.

Provider Name	Functional Integrated Therapy, Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477640613 PECOS PAC ID: 9234189879 Enrollment ID: O20050131001036

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. Dr Kali Ann Hietpas 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
Dr Kali Ann Hietpas, DPT 2211 Hillsborough Rd Apt 1055, Durham, NC 27705-4172 Ph: (715) 252-8308	Dr Kali Ann Hietpas, DPT 900 S Franklin St Ste 201, Wake Forest, NC 27587-2799 Ph: (919) 556-1700

Reviews and Comments

Physical Therapist in Wake Forest, NC

Leigh Taylor, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10560 Ligon Mill Rd Ste 109, Wake Forest, NC 27587 Phone: 919-556-4678 Fax: 919-556-4619
Ms. Morgan Elizabeth Young, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10560 Ligon Mill Rd # 109, Wake Forest, NC 27587 Phone: 919-556-4678 Fax: 919-556-4619
Michael Bradley Whicker, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1009 Stadium Dr Ste 124, Wake Forest, NC 27587 Phone: 919-453-5910 Fax: 919-453-5914
Orthopedic Physical Therapy Associates, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 10560 Ligon Mill Rd, Suite 109, Wake Forest, NC 27587 Phone: 919-556-4678 Fax: 919-556-4619
Michael Holt Mcpherson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10560 Ligon Mill Rd Ste 109, Wake Forest, NC 27587 Phone: 919-556-4678 Fax: 919-556-4619
Epiphany Pelvic Health Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 Capcom Ave Ste 104, Wake Forest, NC 27587 Phone: 919-559-8450
Christopher J Walters, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 843 Durham Rd Ste 110, Wake Forest, NC 27587 Phone: 919-570-7080 Fax: 919-570-7081

Dr Kali Ann Hietpas, DPT - Medicare Physical Therapist in Wake Forest, NC