Blake Tiedtke, DPT in Cedar Rapids, IA - Medicare Physical Therapy

Blake Tiedtke, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Cedar Rapids, Iowa. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Match Play Tennis Centers Inc and his current practice location is 645 32nd Ave Sw, Ste A, Cedar Rapids, Iowa. You can reach out to his office (for appointments etc.) via phone at (319) 363-2901.

Blake Tiedtke is licensed to practice in Iowa (license number 004341) 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 1922248566.

Contact Information

	Blake Tiedtke, DPT
	645 32nd Ave Sw, Ste A, Cedar Rapids, IA 52404-3907
	(319) 363-2901
	(319) 363-2903

Map and Direction

Physician's Profile

Full Name	Blake Tiedtke
Gender	Male
Speciality	Physical Therapy
Experience	16 Years
Location	645 32nd Ave Sw, Cedar Rapids, Iowa
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:

Blake Tiedtke graduated from medical school in 2008

NPI Data:

NPI Number: 1922248566
Provider Enumeration Date: 02/23/2009
Last Update Date: 03/04/2020

Medicare PECOS Information:

PECOS PAC ID: 0143377341
Enrollment ID: I20090403000411

Medical Identifiers

Medical identifiers for Blake Tiedtke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922248566	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	004341 (Iowa)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Match Play Tennis Centers Inc	0042262008	12

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. Blake Tiedtke allows following entities to bill medicare on his behalf.

Entity Name	Match Play Tennis Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760540926 PECOS PAC ID: 0042262008 Enrollment ID: O20050217000697

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. Blake Tiedtke 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
Blake Tiedtke, DPT 3290 Ridgeway Dr, Ste 3, Coralville, IA 52241 Ph: (319) 665-2630	Blake Tiedtke, DPT 645 32nd Ave Sw, Ste A, Cedar Rapids, IA 52404-3907 Ph: (319) 363-2901

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Cedar Rapids, IA

Dr. Stanley John Mathew, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1026 A Ave Ne, Suite 3026, Cedar Rapids, IA 52402 Phone: 319-369-7331
Mariah Jimmerson, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3998 Westdale Pkwy Sw Ste 300, Cedar Rapids, IA 52404 Phone: 319-396-0222
Mr. Devin Robert Hilar Smith, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1026 A Ave Ne, Cedar Rapids, IA 52402 Phone: 319-369-7331 Fax: 319-369-8251
Kyle Bernard, PT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 645 32nd Ave Sw, Cedar Rapids, IA 52404 Phone: 319-363-2901 Fax: 319-363-2903
Nicholas R Appleby, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1026 A Ave Ne, Cedar Rapids, IA 52402 Phone: 319-369-7211
Dr. Roman Magid, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 855 A Ave Ne Ste 105, Cedar Rapids, IA 52402 Phone: 319-368-5992
Aaron Sloterdyk, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 645 32nd Ave Sw Ste A, Cedar Rapids, IA 52404 Phone: 319-363-2901 Fax: 319-363-2903

Blake Tiedtke, DPT - Medicare Physical Therapy in Cedar Rapids, IA