Mrs Madison Hetzler, DPT in Dacula, GA - Medicare Physical Therapist Provider

Mrs Madison Hetzler, DPT is a medicare enrolled "Physical Therapist" provider in Dacula, Georgia. Her current practice location is 2515 Fence Rd Ste 160, Dacula, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 237-2852.

Mrs Madison Hetzler is licensed to practice in Georgia (license number PT017704) 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 1770268153.

Contact Information

	Mrs Madison Hetzler, DPT
	2515 Fence Rd Ste 160, Dacula, GA 30019-2138
	(770) 237-2852
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Madison Hetzler
Gender	Female
Speciality	Physical Therapist
Location	2515 Fence Rd Ste 160, Dacula, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770268153
Provider Enumeration Date: 06/21/2023
Last Update Date: 06/16/2025

Medicare PECOS Information:

PECOS PAC ID: 0941644702
Enrollment ID: I20240220002767

Medical Identifiers

Medical identifiers for Mrs Madison Hetzler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770268153	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11491 (Louisiana)	Secondary
2251C2600X	Physical Therapist - Cardiopulmonary	(* (Not Available))	Secondary
2251P0200X	Physical Therapist - Pediatrics	(* (Not Available))	Secondary
225100000X	Physical Therapist	PT017704 (Georgia)	Primary
2251H1300X	Physical Therapist - Human Factors	(* (Not Available))	Secondary
2251N0400X	Physical Therapist - Neurology	(* (Not Available))	Secondary

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. Mrs Madison Hetzler allows following entities to bill medicare on her behalf.

Provider Name	Rock Island Physical Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073124087 PECOS PAC ID: 0749600831 Enrollment ID: O20201012000166

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. Mrs Madison Hetzler 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
Mrs Madison Hetzler, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217	Mrs Madison Hetzler, DPT 2515 Fence Rd Ste 160, Dacula, GA 30019-2138 Ph: (770) 237-2852

Reviews and Comments

Physical Therapist in Dacula, GA

Laurice Aarons, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2089 Teron Trce Ste 120, Dacula, GA 30019 Phone: 770-904-2357
Dr. Jasmine C Williams, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2300 Liam Ave Ste 103, Dacula, GA 30019 Phone: 470-294-0052 Fax: 470-294-0053
Dr. Katie Bannister, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3615 Braselton Hwy, Suite 104, Dacula, GA 30019 Phone: 770-904-6009 Fax: 770-904-2357
Amy Atkinson Bernal, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 976 Redstone Rd, Dacula, GA 30019 Phone: 770-977-2345 Fax: 678-392-4401
Cristen Sisson, BS, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3581 Braselton Hwy, Dacula, GA 30019 Phone: 770-800-7827
Yumi Ueda Hutchins, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2515 Fence Rd Ste 160, Dacula, GA 30019 Phone: 770-237-2852 Fax: 770-237-2854
Mr. Derek Keith Rushing, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3625 Braselton Hwy Ste 204, Dacula, GA 30019 Phone: 770-271-7492 Fax: 770-271-7426

Mrs Madison Hetzler, DPT - Medicare Physical Therapist in Dacula, GA