Paxton Dettor Ghazal, in Matthews, NC - Medicare Physical Therapist Provider

Paxton Dettor Ghazal, is a medicare enrolled "Physical Therapist" provider in Matthews, North Carolina. Her current practice location is 2008 Moore Rd, Matthews, North Carolina. You can reach out to her office (for appointments etc.) via phone at (877) 407-3422.

Paxton Dettor Ghazal is licensed to practice in North Carolina (license number P22562) 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 1982484234.

Contact Information

	Paxton Dettor Ghazal,
	2008 Moore Rd, Matthews, NC 28105-4978
	(877) 407-3422
	(877) 407-4329

Map and Direction

Healthcare Provider's Profile

Full Name	Paxton Dettor Ghazal
Gender	Female
Speciality	Physical Therapist
Location	2008 Moore Rd, Matthews, 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: 1982484234
Provider Enumeration Date: 10/04/2023
Last Update Date: 04/10/2025

Medicare PECOS Information:

PECOS PAC ID: 5799132619
Enrollment ID: I20231114001049

Medical Identifiers

Medical identifiers for Paxton Dettor Ghazal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982484234	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P22562 (North Carolina)	Primary
225100000X	Physical Therapist	(* (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. Paxton Dettor Ghazal 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. Paxton Dettor Ghazal 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
Paxton Dettor Ghazal, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 558-0076	Paxton Dettor Ghazal, 2008 Moore Rd, Matthews, NC 28105-4978 Ph: (877) 407-3422

Reviews and Comments

Physical Therapist in Matthews, NC

Alexis Nottage, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13655 Providence Rd, Matthews, NC 28104 Phone: 704-246-7050
Dr. Brandi Singleton, PT, DPT, CCI Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 Royal Commons Ln, Matthews, NC 28105 Phone: 704-849-6990
Jeanine Renee Russman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Matthews Township Pkwy, Suite 120, Matthews, NC 28105 Phone: 704-323-3208 Fax: 704-323-3911
Fox Rehab Pt Nc Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2008 Moore Rd, Matthews, NC 28105 Phone: 877-407-3422 Fax: 877-407-4329
Mrs. Kathy Wright Wallace, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1352 Matthews Township Parkway, Unit 102, Matthews, NC 28105 Phone: 704-847-6351 Fax: 704-849-2826
Shaun M Riney, PHYSICAL THERAPY Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1205 Mann Dr, Matthews, NC 28105 Phone: 704-323-3278
Mr. Christopher Cyril Gabriel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1205 Mann Dr, Matthews, NC 28105 Phone: 704-323-3278

Paxton Dettor Ghazal, - Medicare Physical Therapist in Matthews, NC