Brandon Boeck, | |
1681 Commerce Dr, North Mankato, MN 56003-1913 | |
(507) 625-8017 | |
Not Available |
Full Name | Brandon Boeck |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 1681 Commerce Dr, North Mankato, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962956995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 10415 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Active Pt Corp | 9931279932 | 45 |
Provider Name | Active Pt Corp |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124205604 PECOS PAC ID: 9931279932 Enrollment ID: O20080603000286 |
Mailing Address | Practice Location Address |
---|---|
Brandon Boeck, 7551 9th St N, Suite 100, Saint Paul, MN 55128-6629 Ph: () - | Brandon Boeck, 1681 Commerce Dr, North Mankato, MN 56003-1913 Ph: (507) 625-8017 |
Henry Byl, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1681 Commerce Dr, North Mankato, MN 56003 Phone: 507-625-8017 | |
Chloe Victoria Tuma, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1681 Commerce Dr, North Mankato, MN 56003 Phone: 507-322-3460 Fax: 507-322-3450 | |
Janelle Harding, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1681 Commerce Dr, North Mankato, MN 56003 Phone: 507-322-3460 | |
Ryan Dietz, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1681 Commerce Dr, North Mankato, MN 56003 Phone: 507-322-3460 | |
Ashlee Harriman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1681 Commerce Dr, North Mankato, MN 56003 Phone: 507-625-8017 | |
Jennifer Kuehner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1681 Commerce Dr, North Mankato, MN 56003 Phone: 507-625-8017 | |
Jeri Rowley, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1681 Commerce Dr, North Mankato, MN 56003 Phone: 507-625-8017 |