Jeremiah Blaser, PT, DPT in Belvidere, IL - Medicare Physical Therapist Provider

Jeremiah Blaser, PT, DPT is a medicare enrolled "Physical Therapist" provider in Belvidere, Illinois. His current practice location is 1686 Henry Luckow Ln, Belvidere, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 547-4777.

Jeremiah Blaser is licensed to practice in Illinois (license number 070.023017) 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 1023533825.

Contact Information

	Jeremiah Blaser, PT, DPT
	1686 Henry Luckow Ln, Belvidere, IL 61008-1705
	(815) 547-4777
	(815) 547-1024

Map and Direction

Healthcare Provider's Profile

Full Name	Jeremiah Blaser
Gender	Male
Speciality	Physical Therapist
Location	1686 Henry Luckow Ln, Belvidere, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023533825
Provider Enumeration Date: 08/14/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 5698040723
Enrollment ID: I20230518001839

Medical Identifiers

Medical identifiers for Jeremiah Blaser such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023533825	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070.023017 (Illinois)	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. Jeremiah Blaser allows following entities to bill medicare on his behalf.

Provider Name	Professional Therapies Of Roanoke, Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1093372781 PECOS PAC ID: 3375710619 Enrollment ID: O20190906002502

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. Jeremiah Blaser 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
Jeremiah Blaser, PT, DPT 1686 Henry Luckow Ln, Belvidere, IL 61008-1705 Ph: (815) 547-4777	Jeremiah Blaser, PT, DPT 1686 Henry Luckow Ln, Belvidere, IL 61008-1705 Ph: (815) 547-4777

Reviews and Comments

Physical Therapist in Belvidere, IL

Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1731 Henry Luckow Ln, Belvidere, IL 61008 Phone: 815-544-6967 Fax: 815-544-6984
Nathan Dingess, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1255 Logan Ave, Belvidere, IL 61008 Phone: 815-547-4733 Fax: 815-547-9733
Hannah Marie Rehfeldt, PT, DPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1686 Henry Luckow Ln, Belvidere, IL 61008 Phone: 815-547-4777
Christine M Moore, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 770 Beloit Rd, Belvidere, IL 61008 Phone: 815-398-9491 Fax: 815-381-7498
Mary Louise Wheaton, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2289 Long Ln, Belvidere, IL 61008 Phone: 815-519-5316 Fax: 815-544-6871
Jessica L Sweeney, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 770 Beloit Rd, Belvidere, IL 61008 Phone: 815-398-9491 Fax: 815-381-7498

Jeremiah Blaser, PT, DPT - Medicare Physical Therapist in Belvidere, IL