Jay Mittlieder, PT, DPT in Minot, ND - Medicare Physical Therapist Provider

Jay Mittlieder, PT, DPT is a medicare enrolled "Physical Therapist" provider in Minot, North Dakota. His current practice location is 3821 County Road 19 S, Minot, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 509-0589.

Jay Mittlieder is licensed to practice in * (Not Available) (license number ) 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 1174182224.

Contact Information

	Jay Mittlieder, PT, DPT
	3821 County Road 19 S, Minot, ND 58701-2249
	(701) 509-0589
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jay Mittlieder
Gender	Male
Speciality	Physical Therapist
Location	3821 County Road 19 S, Minot, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174182224
Provider Enumeration Date: 06/12/2019
Last Update Date: 10/22/2024

Medicare PECOS Information:

PECOS PAC ID: 6204278971
Enrollment ID: I20240527000222

Medical Identifiers

Medical identifiers for Jay Mittlieder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174182224	NPI	-	NPPES
1743959	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Jay Mittlieder allows following entities to bill medicare on his behalf.

Provider Name	Kenaitze Indian Tribe
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1932114600 PECOS PAC ID: 4082506225 Enrollment ID: O20040325000198

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. Jay Mittlieder 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
Jay Mittlieder, PT, DPT 3821 County Road 19 S, Minot, ND 58701-2249 Ph: (701) 509-0589	Jay Mittlieder, PT, DPT 3821 County Road 19 S, Minot, ND 58701-2249 Ph: (701) 509-0589

Reviews and Comments

Physical Therapist in Minot, ND

First Choice Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2111 Landmark Cir, Suite B, Minot, ND 58703 Phone: 701-839-4102 Fax: 701-838-9603
Kayla R Lambrecht, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2111 Landmark Cir Nw # B, Minot, ND 58703 Phone: 701-839-4102
Jessica Fossen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 3rd Ave Sw, Minot, ND 58701 Phone: 701-857-5286 Fax: 701-857-5694
Aundrea Riehl, PT/DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 3rd Ave Sw, Minot, ND 58701 Phone: 701-857-5286 Fax: 701-857-5694
Mrs. Patricia A Gerszewski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 2nd St Se, Minot, ND 58701 Phone: 701-857-4410
Mrs. Aimee Christine Clemens, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Burdick Expy W, Minot, ND 58701 Phone: 701-857-5105 Fax: 701-857-5646
Mrs. Hayley Hugg, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3515 16th St Sw, Minot, ND 58701 Phone: 701-838-1080 Fax: 701-838-1630

Jay Mittlieder, PT, DPT - Medicare Physical Therapist in Minot, ND