Brendan Raymond Bolduc, PT, DPT, CSCS in Montvale, NJ - Medicare Physical Therapy Provider

Brendan Raymond Bolduc, PT, DPT, CSCS is a medicare enrolled "Physical Therapist" provider in Montvale, New Jersey. He went to New York Medical College and graduated in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Sportsmed Pt Llc, Hudson Premiere Rehabilitation And Sports Therapy and his current practice location is 15 S Kinderkamack Rd, Montvale, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 573-4969.

Brendan Raymond Bolduc is licensed to practice in New Jersey (license number 40QA02024200) 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 1811664899.

Contact Information

	Brendan Raymond Bolduc, PT, DPT, CSCS
	15 S Kinderkamack Rd, Montvale, NJ 07645-2112
	(201) 573-4969
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brendan Raymond Bolduc
Gender	Male
Speciality	Physical Therapy
Experience	3 Years
Location	15 S Kinderkamack Rd, Montvale, New Jersey
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:

Brendan Raymond Bolduc attended and graduated from New York Medical College in 2021

NPI Data:

NPI Number: 1811664899
Provider Enumeration Date: 08/26/2021
Last Update Date: 08/26/2021

Medicare PECOS Information:

PECOS PAC ID: 1759789522
Enrollment ID: I20211008000043

Medical Identifiers

Medical identifiers for Brendan Raymond Bolduc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811664899	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA02024200 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sportsmed Pt Llc	0749535805	169
Hudson Premiere Rehabilitation And Sports Therapy	1850547001	3

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. Brendan Raymond Bolduc allows following entities to bill medicare on his behalf.

Provider Name	Sports Medicine Center Of Bergen Pa
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1609990019 PECOS PAC ID: 6507840550 Enrollment ID: O20040616001004

Provider Name	Hudson Premiere Rehabilitation & Sports Therapy
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1033477450 PECOS PAC ID: 1850547001 Enrollment ID: O20120803000594

Provider Name	Sportsmed Pt Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841787645 PECOS PAC ID: 0749535805 Enrollment ID: O20180614001056

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. Brendan Raymond Bolduc 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
Brendan Raymond Bolduc, PT, DPT, CSCS 605 Main St, Hackensack, NJ 07601-5914 Ph: (201) 488-0488	Brendan Raymond Bolduc, PT, DPT, CSCS 15 S Kinderkamack Rd, Montvale, NJ 07645-2112 Ph: (201) 573-4969

Reviews and Comments

Physical Therapist in Montvale, NJ

Mr. Michael Kryagin, MS,PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 305 W Grand Ave, Montvale, NJ 07645 Phone: 201-291-8282 Fax: 201-391-8299
Kellie Jean Carpenter, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 221 W Grand Ave, Montvale, NJ 07645 Phone: 201-307-9209
Jennifer Yoo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 Nottingham Ct, Montvale, NJ 07645 Phone: 917-554-0280
Summit Physical Therapy And Sports Care, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 160 Summit Ave Ste 104, Montvale, NJ 07645 Phone: 201-627-0100 Fax: 201-746-6652
Julia Lynn Perez, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 S Kinderkamack Rd Ste 208, Montvale, NJ 07645 Phone: 201-746-6577
Dr. Katrina Pizzichetta, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Summit Ave, Montvale, NJ 07645 Phone: 201-775-7416
Annmarie Champagne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Philips Pkwy, Montvale, NJ 07645 Phone: 201-930-8700 Fax: 201-930-8730

Brendan Raymond Bolduc, PT, DPT, CSCS - Medicare Physical Therapist in Montvale, NJ