Cory E Niedfeldt, PT in Terrytown, LA - Medicare Physical Therapist Provider

Cory E Niedfeldt, PT is a medicare enrolled "Physical Therapist" provider in Terrytown, Louisiana. His current practice location is 1712 Stumpf Blvd, Terrytown, Louisiana. You can reach out to his office (for appointments etc.) via phone at (504) 365-1020.

Cory E Niedfeldt is licensed to practice in Louisiana (license number 01779) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700071321.

Contact Information

	Cory E Niedfeldt, PT
	1712 Stumpf Blvd, Terrytown, LA 70056-3923
	(504) 365-1020
	(504) 365-1080

Map and Direction

Healthcare Provider's Profile

Full Name	Cory E Niedfeldt
Gender	Male
Speciality	Physical Therapist
Location	1712 Stumpf Blvd, Terrytown, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700071321
Provider Enumeration Date: 09/06/2007
Last Update Date: 03/22/2023

Medicare PECOS Information:

PECOS PAC ID: 4486726668
Enrollment ID: I20221101002446

Medical Identifiers

Medical identifiers for Cory E Niedfeldt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700071321	NPI	-	NPPES
568080	Other	IL	MEDICARE GROUP NUMBER
567700	Other	IL	MEDICARE GROUP NUMBER
568150	Other	IN	MEDICARE GROUP NUMBER
1619980	Other	IL	BCBS OF IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070013292 (Illinois)	Secondary
225100000X	Physical Therapist	01779 (Louisiana)	Primary

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. Cory E Niedfeldt allows following entities to bill medicare on his behalf.

Provider Name	Rehab Access Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1699840520 PECOS PAC ID: 3173591708 Enrollment ID: O20040922000209

Provider Name	City Park Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1003178393 PECOS PAC ID: 2264676741 Enrollment ID: O20130924000272

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. Cory E Niedfeldt 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
Cory E Niedfeldt, PT 625 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-2395 Ph: (616) 356-5000	Cory E Niedfeldt, PT 1712 Stumpf Blvd, Terrytown, LA 70056-3923 Ph: (504) 365-1020

Reviews and Comments

Physical Therapist in Terrytown, LA

Ms. Dayni Noel Langoni, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1712 Stumpf Blvd, Terrytown, LA 70056 Phone: 985-807-3738 Fax: 504-365-1080
Kevin Van Luong, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1712 Stumpf Blvd, Terrytown, LA 70056 Phone: 504-365-1020 Fax: 504-365-1080
Bone & Joint Clinic Llc Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2600 Belle Chasse Hwy Ste 208, Terrytown, LA 70056 Phone: 504-391-7670 Fax: 504-378-9439
Kathyrn S Bonvillian, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1610 Belle Chasse Hwy, Terrytown, LA 70056 Phone: 504-362-1000 Fax: 504-584-7747
Kimberly Youngs Grand, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1610 Belle Chasse Hwy, Terrytown, LA 70056 Phone: 504-362-1000 Fax: 504-584-7747
Dr. Erin Dixon, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1712 Stumpf Blvd, Terrytown, LA 70056 Phone: 504-365-1020 Fax: 504-365-1080
Ms. Jaime L Caillet, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1799 Stumpf Blvd, Bldg 1 Suite 4, Terrytown, LA 70056 Phone: 504-365-1020 Fax: 504-365-1080

Cory E Niedfeldt, PT - Medicare Physical Therapist in Terrytown, LA