Blake Douglas Wagner, PT in Fremont, NE

Blake Douglas Wagner, PT is a medicare enrolled "Physical Therapist" provider in Fremont, Nebraska. His current practice location is 410 E 22nd St Ste 2, Fremont, Nebraska. You can reach out to his office (for appointments etc.) via phone at (800) 974-4378.

Blake Douglas Wagner is licensed to practice in Nebraska (license number 1004) 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 1811057664.

Contact Information

	Blake Douglas Wagner, PT
	410 E 22nd St Ste 2, Fremont, NE 68025-2640
	(800) 974-4378
	(630) 515-1536

Map and Direction

Healthcare Provider's Profile

Full Name	Blake Douglas Wagner
Gender	Male
Speciality
Experience	Years
Location	410 E 22nd St Ste 2, Fremont, Nebraska
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 Douglas Wagner attended and graduated from in

NPI Data:

NPI Number: 1811057664
Provider Enumeration Date: 12/11/2006
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

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

Identifier	Type	State	Issuer
1811057664	NPI	-	NPPES
29675	Other	IA	BCBS IA-WELLMARK
0762989	Medicaid	IA
P00636067	Other	IA	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	01883 (Iowa)	Secondary
225100000X	Physical Therapist	1004 (Nebraska)	Primary

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 Douglas Wagner 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 Douglas Wagner, PT 24014 W Renwick Rd Unit 206, Plainfield, IL 60544-8711 Ph: (800) 974-4378	Blake Douglas Wagner, PT 410 E 22nd St Ste 2, Fremont, NE 68025-2640 Ph: (800) 974-4378

Reviews and Comments

Physical Therapist in Fremont, NE

Christian M Keays, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 410 N Bell St, Fremont, NE 68025 Phone: 402-512-3893
Physical Therapist Medicare: Medicare Enrolled Practice Location: 410 N Bell St, Fremont, NE 68025 Phone: 402-512-3893
Nebraska Orthopaedic Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2123 E 23rd Ave S, Fremont, NE 68025 Phone: 402-721-1112 Fax: 402-721-1113
Chelsea M Jenner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 E 22nd St, Fremont, NE 68025 Phone: 402-721-3908 Fax: 402-721-4047
Christine Montes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 E 23rd St, Fremont, NE 68025 Phone: 402-727-3772
Dr. Jamie Mae Larsen, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1445 N Bell St, Fremont, NE 68025 Phone: 402-512-3893
Zachary J Girthoffer, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2740 N Clarkson St, Suite 200, Fremont, NE 68025 Phone: 402-721-0235

Blake Douglas Wagner, PT - Medicare Physical Therapist in Fremont, NE