Mark Ryan Tollefsrud, DPT in Blaine, MN - Medicare Physical Therapy Provider

Mark Ryan Tollefsrud, DPT is a medicare enrolled "Physical Therapist" provider in Blaine, Minnesota. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Physical Therapy Of Boulder and his current practice location is 11225 Ulysses St Ne, Blaine, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 302-2600.

Mark Ryan Tollefsrud is licensed to practice in * (Not Available) (license number ) 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 1568005619.

Contact Information

	Mark Ryan Tollefsrud, DPT
	11225 Ulysses St Ne, Blaine, MN 55434-4261
	(763) 302-2600
	(763) 302-2601

Map and Direction

Healthcare Provider's Profile

Full Name	Mark Ryan Tollefsrud
Gender	Male
Speciality	Physical Therapy
Experience	5 Years
Location	11225 Ulysses St Ne, Blaine, Minnesota
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:

Mark Ryan Tollefsrud graduated from medical school in 2019

NPI Data:

NPI Number: 1568005619
Provider Enumeration Date: 10/22/2019
Last Update Date: 12/02/2019

Medicare PECOS Information:

PECOS PAC ID: 8527390053
Enrollment ID: I20221006003579

Medical Identifiers

Medical identifiers for Mark Ryan Tollefsrud such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568005619	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physical Therapy Of Boulder	6002882339	13

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. Mark Ryan Tollefsrud allows following entities to bill medicare on his behalf.

Provider Name	Physical Therapy Of Boulder
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215056023 PECOS PAC ID: 6002882339 Enrollment ID: O20040908000410

Provider Name	Alpine Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1013328855 PECOS PAC ID: 8224256466 Enrollment ID: O20140829000230

Provider Name	Goodcare Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1225746100 PECOS PAC ID: 3173946068 Enrollment ID: O20230301000327

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. Mark Ryan Tollefsrud 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
Mark Ryan Tollefsrud, DPT 11225 Ulysses St Ne, Blaine, MN 55434-4261 Ph: (763) 302-2600	Mark Ryan Tollefsrud, DPT 11225 Ulysses St Ne, Blaine, MN 55434-4261 Ph: (763) 302-2600

Reviews and Comments

Physical Therapist in Blaine, MN

Megan Francisco, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2331 108th Ln Ne, Blaine, MN 55449 Phone: 253-777-7763
Samuel John Arnold, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11225 Ulysses St Ne, Blaine, MN 55434 Phone: 763-302-2600
Hannah Marie Martin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11225 Ulysses St Ne, Blaine, MN 55434 Phone: 763-302-2600 Fax: 763-302-2601
Sarah J Jenks, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11225 Ulysses St Ne, Blaine, MN 55434 Phone: 763-302-2600 Fax: 763-302-2601
Daniel J Vanhouse, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10052 Pleasure Creek Cir Ne, Blaine, MN 55434 Phone: 651-235-7769
Dr. Allison Lien Tran, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10961 Club West Pkwy Ste 200, Blaine, MN 55449 Phone: 763-528-2992
Alexis Hydukovich, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11225 Ulysses St Ne, Blaine, MN 55434 Phone: 763-302-2600 Fax: 763-302-2601

Mark Ryan Tollefsrud, DPT - Medicare Physical Therapist in Blaine, MN