Mr Raymond Mack, PT in Manitowoc, WI - Medicare Physical Therapy Provider

Mr Raymond Mack, PT is a medicare enrolled "Physical Therapist" provider in Manitowoc, Wisconsin. He graduated from medical school in 1977 and has 47 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Advanced Physical Therapy And Sports Medicine Sc and his current practice location is 924 Buffalo St, Manitowoc, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 560-1147.

Mr Raymond Mack is licensed to practice in Wisconsin (license number 1765024) 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 1134192321.

Contact Information

	Mr Raymond Mack, PT
	924 Buffalo St, Manitowoc, WI 54220-4618
	(920) 560-1147
	(920) 560-1197

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Raymond Mack
Gender	Male
Speciality	Physical Therapy
Experience	47 Years
Location	924 Buffalo St, Manitowoc, Wisconsin
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:

Mr Raymond Mack graduated from medical school in 1977

NPI Data:

NPI Number: 1134192321
Provider Enumeration Date: 02/09/2006
Last Update Date: 11/26/2021

Medicare PECOS Information:

PECOS PAC ID: 6305884230
Enrollment ID: I20090225000228

Medical Identifiers

Medical identifiers for Mr Raymond Mack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134192321	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1765024 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advanced Physical Therapy And Sports Medicine Sc	2365432903	61

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 Raymond Mack allows following entities to bill medicare on his behalf.

Provider Name	Advanced Physical Therapy & Sports Medicine Sc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1407857790 PECOS PAC ID: 2365432903 Enrollment ID: O20040514001027

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 Raymond Mack 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
Mr Raymond Mack, PT 2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862 Ph: (920) 560-1147	Mr Raymond Mack, PT 924 Buffalo St, Manitowoc, WI 54220-4618 Ph: (920) 560-1147

Reviews and Comments

Physical Therapist in Manitowoc, WI

Jessica L Chouinard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-8667 Fax: 920-320-8616
Rachel R Fischer, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3415 Custer St Ste D, Manitowoc, WI 54220 Phone: 920-652-9310 Fax: 920-652-9316
Ms. Katherine Ann Pohlmann, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2262 Knuell St, Manitowoc, WI 54220 Phone: 920-652-0930
Nicole Drew, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-3100 Fax: 920-320-5114
Mr. Adam B Klarkowski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1212 Memorial Dr, Ste 1, Manitowoc, WI 54220 Phone: 920-652-9554 Fax: 920-652-9556
Damon J Banks, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 960 S Rapids Rd, Manitowoc, WI 54220 Phone: 920-684-1144
Kelsey Hoffman, PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-3100 Fax: 920-684-3194

Mr Raymond Mack, PT - Medicare Physical Therapist in Manitowoc, WI