Dr Lucky Maze, PT, DPT, OCS in Spring Hill, TN - Medicare Physical Therapist Provider

Dr Lucky Maze, PT, DPT, OCS is a medicare enrolled "Physical Therapist - Orthopedic" provider in Spring Hill, Tennessee. His current practice location is 5073 Main St Ste 140, Spring Hill, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 861-4444.

Dr Lucky Maze is licensed to practice in Tennessee (license number 16343) 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 1639896624.

Contact Information

	Dr Lucky Maze, PT, DPT, OCS
	5073 Main St Ste 140, Spring Hill, TN 37174-2738
	(615) 861-4444
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lucky Maze
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	5073 Main St Ste 140, Spring Hill, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639896624
Provider Enumeration Date: 10/20/2022
Last Update Date: 04/03/2025

Medicare PECOS Information:

PECOS PAC ID: 5092246447
Enrollment ID: I20241009002093

Medical Identifiers

Medical identifiers for Dr Lucky Maze such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639896624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	16343 (Tennessee)	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 Lucky Maze allows following entities to bill medicare on his behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Lucky Maze 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 Lucky Maze, PT, DPT, OCS 2011 Blossom Run, Spring Hill, TN 37174-4542 Ph: (615) 913-6862	Dr Lucky Maze, PT, DPT, OCS 5073 Main St Ste 140, Spring Hill, TN 37174-2738 Ph: (615) 861-4444

Reviews and Comments

Physical Therapist in Spring Hill, TN

Mary Ann Bullins, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3056 Miles Johnson Pkwy, Spring Hill, TN 37174 Phone: 877-407-3422 Fax: 877-407-4329
Mrs. Joanne Shuru-tan Mcginnis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3056 Miles Johnson Pkwy, Spring Hill, TN 37174 Phone: 877-407-3422 Fax: 877-407-4329
Brian Thomas Byrd, DPT, MTC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5010 Spedale Ct, Spring Hill, TN 37174 Phone: 931-486-0599 Fax: 931-486-3962
Tyler John Soltis, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5073 Main St Ste 120, Spring Hill, TN 37174 Phone: 615-302-3564 Fax: 615-302-3067
Dr. Shad Morgheim, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1011 Alice Springs Cir, Spring Hill, TN 37174 Phone: 303-514-1599
Dr. Sarah Hanna Zaka, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3056 Miles Johnson Pkwy, Spring Hill, TN 37174 Phone: 877-407-3422 Fax: 877-407-4329
Mrs. Amy Rebecca Childs, BSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4886 Port Royal Rd, Ste. 180, Spring Hill, TN 37174 Phone: 931-499-7350 Fax: 931-499-7351

Dr Lucky Maze, PT, DPT, OCS - Medicare Physical Therapist in Spring Hill, TN