Matthew Dwayne Blick, PHYSICAL THERAPIST is a medicare enrolled "Physical Therapist" provider in Shepherd, Michigan. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. His current practice location is
331 E Wright Ave, Shepherd, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 567-1300.
Matthew Dwayne Blick is licensed to practice in Michigan (license number 5501018295) 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 1750809455.
Healthcare Provider's Profile
| Full Name | Matthew Dwayne Blick |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 7 Years |
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| Location | 331 E Wright Ave, Shepherd, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Matthew Dwayne Blick graduated from medical school in 2017
NPI Data:
- NPI Number: 1750809455
- Provider Enumeration Date: 09/01/2017
- Last Update Date: 01/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 3173898889
- Enrollment ID: I20171005002809
Medical Identifiers
Medical identifiers for Matthew Dwayne Blick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750809455 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 5501018295 (Michigan) | 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. Matthew Dwayne Blick allows following entities to bill medicare on his behalf.
| Provider Name | Evergreen Physical Therapy Limited Partnership |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1295740637
PECOS PAC ID: 7618074220
Enrollment ID: O20070516000180 |
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| Provider Name | Wright Avenue Rehab Pllc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1013520576
PECOS PAC ID: 6002229226
Enrollment ID: O20210107002471 |
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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. Matthew Dwayne Blick 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 |
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Matthew Dwayne Blick, PHYSICAL THERAPIST
Po Box 3272,
Saginaw, MI 48605-3272
Ph: (989) 797-1400 | Matthew Dwayne Blick, PHYSICAL THERAPIST
331 E Wright Ave,
Shepherd, MI 48883-8065
Ph: (989) 567-1300 |
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