Dr Jonathan Gogolakis, DPT in Maple Grove, MN - Medicare Physical Therapist Provider

Dr Jonathan Gogolakis, DPT is a medicare enrolled "Physical Therapist" provider in Maple Grove, Minnesota. His current practice location is 9505 Blackoaks Ln N, Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 420-4111.

Dr Jonathan Gogolakis is licensed to practice in Minnesota (license number 13666) 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 1770319675.

Contact Information

	Dr Jonathan Gogolakis, DPT
	9505 Blackoaks Ln N, Maple Grove, MN 55311-1229
	(763) 420-4111
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jonathan Gogolakis
Gender	Male
Speciality	Physical Therapist
Location	9505 Blackoaks Ln N, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770319675
Provider Enumeration Date: 09/09/2024
Last Update Date: 09/09/2024

Medicare PECOS Information:

PECOS PAC ID: 6709327109
Enrollment ID: I20240925003800

Medical Identifiers

Medical identifiers for Dr Jonathan Gogolakis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770319675	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	13666 (Minnesota)	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. Dr Jonathan Gogolakis allows following entities to bill medicare on his behalf.

Provider Name	Nielson Family Chiropractic, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467736231 PECOS PAC ID: 0648446930 Enrollment ID: O20120109000699

Provider Name	Odom Sports Medicine Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275557886 PECOS PAC ID: 0143485607 Enrollment ID: O20120706000533

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. Dr Jonathan Gogolakis 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
Dr Jonathan Gogolakis, DPT 5050 W 36th St Ste 100, St Louis Park, MN 55416-5470 Ph: () -	Dr Jonathan Gogolakis, DPT 9505 Blackoaks Ln N, Maple Grove, MN 55311-1229 Ph: (763) 420-4111

Reviews and Comments

Physical Therapist in Maple Grove, MN

Tamara Mukete, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 15301 Grove Cir N, Maple Grove, MN 55369 Phone: 952-993-5900
Sarah Joan Noonan, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6602 Hemlock Ln N, Maple Grove, MN 55369 Phone: 763-425-0352 Fax: 763-425-1656
Carol Buendorf, Physical Therapist Medicare: Medicare Enrolled Practice Location: 16500 92nd Ave N, Maple Grove, MN 55311 Phone: 763-343-7896
Dhruviben Bharatbhai Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18573 70th Ave N, Maple Grove, MN 55311 Phone: 470-621-5687
Jennifer Lynn Quisberg, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15301 Grove Cir N, Maple Grove, MN 55369 Phone: 952-993-5900 Fax: 952-993-0300
Kristopher Gerald Balgaard, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6450 Wedgwood Rd N, Maple Grove, MN 55311 Phone: 952-835-4512 Fax: 888-425-0398
Heather Porter, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10900 73rd Ave N Ste 140, Maple Grove, MN 55369 Phone: 763-315-1296

Dr Jonathan Gogolakis, DPT - Medicare Physical Therapist in Maple Grove, MN