Zackary Fedorka, DPT in Hermitage, TN - Medicare Physical Therapy Provider

Zackary Fedorka, DPT is a medicare enrolled "Physical Therapist" provider in Hermitage, Tennessee. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Advanced Diagnostic Imaging Pc and his current practice location is 302 Old Lebanon Dirt Rd Ste 100, Hermitage, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 391-4545.

Zackary Fedorka is licensed to practice in Tennessee (license number 11499) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508279084.

Contact Information

	Zackary Fedorka, DPT
	302 Old Lebanon Dirt Rd Ste 100, Hermitage, TN 37076-2390
	(615) 391-4545
	(615) 391-4546

Map and Direction

Healthcare Provider's Profile

Full Name	Zackary Fedorka
Gender	Male
Speciality	Physical Therapy
Experience	10 Years
Location	302 Old Lebanon Dirt Rd Ste 100, Hermitage, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Zackary Fedorka graduated from medical school in 2014

NPI Data:

NPI Number: 1508279084
Provider Enumeration Date: 06/03/2014
Last Update Date: 06/29/2023

Medicare PECOS Information:

PECOS PAC ID: 3375816226
Enrollment ID: I20200215000156

Medical Identifiers

Medical identifiers for Zackary Fedorka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508279084	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	PT.014820 (Ohio)	Secondary
225100000X	Physical Therapist	11499 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advanced Diagnostic Imaging Pc	7315848140	545

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. Zackary Fedorka allows following entities to bill medicare on his behalf.

Provider Name	Advanced Diagnostic Imaging Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677

Provider Name	Independent Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1104878354 PECOS PAC ID: 9335056308 Enrollment ID: O20040928000202

Provider Name	Drayer Physical Therapy Of Tennessee Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841712577 PECOS PAC ID: 6901029842 Enrollment ID: O20140522001577

Provider Name	Results-ast Jv Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780291948 PECOS PAC ID: 4486066396 Enrollment ID: O20201217003061

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. Zackary Fedorka 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
Zackary Fedorka, DPT 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 239-2018	Zackary Fedorka, DPT 302 Old Lebanon Dirt Rd Ste 100, Hermitage, TN 37076-2390 Ph: (615) 391-4545

Reviews and Comments

Physical Therapist in Hermitage, TN

Mary C Davern, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3919 Lebanon Pike, Hermitage, TN 37076 Phone: 615-391-0525 Fax: 615-391-0693
Megan M Gesell, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5651 Frist Blvd, Suite 200, Hermitage, TN 37076 Phone: 615-885-0200 Fax: 615-885-0267
Casee Adams, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3919 Lebanon Pike, Hermitage, TN 37076 Phone: 615-391-0525 Fax: 615-391-0693
Megan Burks, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3810 Central Pike Ste 102, Hermitage, TN 37076 Phone: 615-915-5000 Fax: 615-915-5002
Mr. Christopher Ryan Humphreys, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 275 Jackson Meadows Dr, Suite 101, Hermitage, TN 37076 Phone: 615-885-7848
Jared Marrano, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 302 Old Lebanon Dirt Rd Ste 100, Hermitage, TN 37076 Phone: 615-391-4545 Fax: 615-391-4546
Amy Marple, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3919 Lebanon Pike, Hermitage, TN 37076 Phone: 615-391-0525 Fax: 615-391-0693

Zackary Fedorka, DPT - Medicare Physical Therapist in Hermitage, TN