Mr Stanley T Petrick, MSPT in Hazle Township, PA - Medicare Physical Therapist Provider

Mr Stanley T Petrick, MSPT is a medicare enrolled "Physical Therapist" provider in Hazle Township, Pennsylvania. His current practice location is 1201b N Church St Ste 308, Hazle Township, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 455-7108.

Mr Stanley T Petrick is licensed to practice in Pennsylvania (license number PT011725L) 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 1881650281.

Contact Information

	Mr Stanley T Petrick, MSPT
	1201b N Church St Ste 308, Hazle Township, PA 18202-1454
	(570) 455-7108
	(570) 455-8835

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Stanley T Petrick
Gender	Male
Speciality	Physical Therapist
Location	1201b N Church St Ste 308, Hazle Township, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881650281
Provider Enumeration Date: 04/25/2006
Last Update Date: 04/22/2025

Medicare PECOS Information:

PECOS PAC ID: 0446244750
Enrollment ID: I20040412000010

Medical Identifiers

Medical identifiers for Mr Stanley T Petrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881650281	NPI	-	NPPES
1230503	Other		FIRST HEALTH
P00199564	Other		RAILROAD MEDICARE
PE176517	Other	PA	BLUE SHIELD
820635	Other	PA	FIRST PRIORITY
230232	Other		HEALTH AMERICA
50038360	Other	PA	CAPITAL BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT011725L (Pennsylvania)	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. Mr Stanley T Petrick allows following entities to bill medicare on his behalf.

Provider Name	Maylath Therapy Group Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902247737 PECOS PAC ID: 1850527482 Enrollment ID: O20140102000400

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. Mr Stanley T Petrick 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
Mr Stanley T Petrick, MSPT 2000 Westinghouse Dr Ste 200, Cranberry Twp, PA 16066-5238 Ph: (724) 343-4060	Mr Stanley T Petrick, MSPT 1201b N Church St Ste 308, Hazle Township, PA 18202-1454 Ph: (570) 455-7108

Reviews and Comments

Physical Therapist in Hazle Township, PA

Rachel Witner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Hazle Township Blvd, 403 Hazle Township Blvd, Hazle Township, PA 18202 Phone: 570-454-8888 Fax: 570-459-9252
Phoenix Rehabilitation And Health Services, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201b N Church St, Suite 307, Hazle Township, PA 18202 Phone: 570-455-7108 Fax: 570-455-8835
Deana Vonfrisch, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 403 Hazle Township Blvd, Hazle Township, PA 18202 Phone: 570-454-8888 Fax: 570-459-9252
Mrs. Sheri Lee Boyle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201b N Church St, Ste 307, Hazle Township, PA 18202 Phone: 570-455-7108 Fax: 570-455-8835
Paul Kropiewnicki, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1324 N Church St, Hazle Township, PA 18202 Phone: 570-501-1808
Astute Diagnostics Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1077 N Church St, Hazle Township, PA 18202 Phone: 570-501-1808 Fax: 855-635-6308
Travis Evans, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1077 N Church St, Hazle Township, PA 18202 Phone: 570-501-1808

Mr Stanley T Petrick, MSPT - Medicare Physical Therapist in Hazle Township, PA