Randall E Boldt, PT in Davenport, IA - Medicare Physical Therapist Provider

Randall E Boldt, PT is a medicare enrolled "Physical Therapist" provider in Davenport, Iowa. His current practice location is 1008 W 35th St, Davenport, Iowa. You can reach out to his office (for appointments etc.) via phone at (563) 324-2263.

Randall E Boldt is licensed to practice in Iowa (license number 02562) 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 1043277155.

Contact Information

	Randall E Boldt, PT
	1008 W 35th St, Davenport, IA 52806-5827
	(563) 324-2263
	(563) 324-0719

Map and Direction

Healthcare Provider's Profile

Full Name	Randall E Boldt
Gender	Male
Speciality	Physical Therapist
Location	1008 W 35th St, Davenport, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043277155
Provider Enumeration Date: 05/01/2006
Last Update Date: 09/23/2013

Medicare PECOS Information:

PECOS PAC ID: 1557270840
Enrollment ID: I20121012000424

Medical Identifiers

Medical identifiers for Randall E Boldt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043277155	NPI	-	NPPES
02562	Other	IA	IOWA PT LICENSE NUMBER
070-008667	Other	IL	ILLINOIS PT LICENSE NO.

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	02562 (Iowa)	Primary
225100000X	Physical Therapist	070-008667 (Illinois)	Secondary

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. Randall E Boldt allows following entities to bill medicare on his behalf.

Provider Name	Rock Valley Physical Therapy Center
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1245373166 PECOS PAC ID: 9638087877 Enrollment ID: O20040630000390

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. Randall E Boldt 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
Randall E Boldt, PT 850 43rd Ave Ste 100, Moline, IL 61265-8401 Ph: (309) 743-2070	Randall E Boldt, PT 1008 W 35th St, Davenport, IA 52806-5827 Ph: (563) 324-2263

Reviews and Comments

Physical Therapist in Davenport, IA

Muna Majdi Omar, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5254 Utica Ridge Rd, Davenport, IA 52807 Phone: 563-359-3799
Ms. Sara Katherine Petersen, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1008 W 35th St, Davenport, IA 52806 Phone: 563-362-0060
Joel D Mason, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3385 Dexter Ct, Plaza Physical Therapy, Davenport, IA 52807 Phone: 563-344-6645 Fax: 563-441-7796
Quad City Physical Therapy & Spine Physical Therapist Medicare: Medicare Enrolled Practice Location: 5254 Utica Ridge Rd, Davenport, IA 52807 Phone: 563-359-3799 Fax: 563-359-3804
Mr. Michael Leonard Puthoff, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 518 W Locust St, Physical Therapy Department, Davenport, IA 52803 Phone: 563-333-6009
Elizabeth A Miller, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3385 Dexter Ct, Ste 301, Davenport, IA 52807 Phone: 563-344-6645 Fax: 563-441-7796

Randall E Boldt, PT - Medicare Physical Therapist in Davenport, IA