Marissa Danielle Hagenbruch, DPT in Jacksonville, NC - Medicare Physical Therapist Provider

Marissa Danielle Hagenbruch, DPT is a medicare enrolled "Physical Therapist" provider in Jacksonville, North Carolina. Her current practice location is 2145 Country Club Rd Ste 200, Jacksonville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 726-1802.

Marissa Danielle Hagenbruch is licensed to practice in North Carolina (license number P21503) 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 1467189357.

Contact Information

	Marissa Danielle Hagenbruch, DPT
	2145 Country Club Rd Ste 200, Jacksonville, NC 28546-2404
	(252) 726-1802
	(252) 726-1805

Map and Direction

Healthcare Provider's Profile

Full Name	Marissa Danielle Hagenbruch
Gender	Female
Speciality	Physical Therapist
Location	2145 Country Club Rd Ste 200, Jacksonville, 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: 1467189357
Provider Enumeration Date: 08/02/2022
Last Update Date: 09/08/2025

Medicare PECOS Information:

PECOS PAC ID: 1254717853
Enrollment ID: I20221005002519

Medical Identifiers

Medical identifiers for Marissa Danielle Hagenbruch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467189357	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P21503 (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. Marissa Danielle Hagenbruch allows following entities to bill medicare on her behalf.

Provider Name	Agilitas Usa, Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20130807000042

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. Marissa Danielle Hagenbruch 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
Marissa Danielle Hagenbruch, DPT Po Box 5105, Belfast, ME 04915-5100 Ph: (252) 726-1802	Marissa Danielle Hagenbruch, DPT 2145 Country Club Rd Ste 200, Jacksonville, NC 28546-2404 Ph: (252) 726-1802

Reviews and Comments

Physical Therapist in Jacksonville, NC

Erin M Ryan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2453 Gum Branch Rd Ste 600, Jacksonville, NC 28540 Phone: 910-353-9800 Fax: 910-455-2083
Kelsey Aldi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 122 Branchwood Shopping Ctr, Jacksonville, NC 28546 Phone: 910-938-7555
Dr. Emily Louise Sarratt, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2457 Gum Branch Rd Ste 600700, Jacksonville, NC 28540 Phone: 910-938-7555
Mr. Frank J Mikloucich Jr., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3060 Henderson Dr, Jacksonville, NC 28546 Phone: 910-346-3151 Fax: 910-346-2975
Cora Bo Stevens, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1092 Hampton Inn Way Ste 500, Jacksonville, NC 28546 Phone: 910-500-6882
Heather Koopman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2000 Brabham Ave Ste 100, Jacksonville, NC 28546 Phone: 910-332-3800 Fax: 910-251-0421
Anthony Steven Mora, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2000 Brabham Ave Ste 100, Jacksonville, NC 28546 Phone: 910-332-3800

Marissa Danielle Hagenbruch, DPT - Medicare Physical Therapist in Jacksonville, NC