Mr Craig Blanda, MPT, CERTMDT is a medicare enrolled "Physical Therapist" provider in Logan Twp, New Jersey. His current practice location is
520 Beckett Rd, Suite 200, Logan Twp, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 467-3421.
Mr Craig Blanda is licensed to practice in New Jersey (license number QA08484) 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 1417905084.
Healthcare Provider's Profile
| Full Name | Mr Craig Blanda |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 520 Beckett Rd, Logan Twp, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417905084
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 07/21/2009
Medicare PECOS Information:
- PECOS PAC ID: 9032361779
- Enrollment ID: I20200325001005
Medical Identifiers
Medical identifiers for Mr Craig Blanda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417905084 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | QA08484 (New Jersey) | 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. Mr Craig Blanda allows following entities to bill medicare on his behalf.
| Provider Name | Rehabclinics Spt Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1699113688
PECOS PAC ID: 7113834102
Enrollment ID: O20130828000263 |
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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. Mr Craig Blanda 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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Mr Craig Blanda, MPT, CERTMDT
520 Beckett Rd, Suite 200,
Logan Township, NJ 08085-1732
Ph: (856) 467-3421 | Mr Craig Blanda, MPT, CERTMDT
520 Beckett Rd, Suite 200,
Logan Twp, NJ 08085-1732
Ph: (856) 467-3421 |
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