Blake Randall Van Maanen, - Medicare Physical Therapist in Appleton, WI

Blake Randall Van Maanen, is a medicare enrolled "Physical Therapist" provider in Appleton, Wisconsin. He graduated from medical school in 2020 and has 4 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 2105 E Enterprise Ave Ste 113, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 991-2561.

Blake Randall Van Maanen is licensed to practice in Wisconsin (license number 15128-24) 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 1659998284.

Contact Information

Blake Randall Van Maanen,
2105 E Enterprise Ave Ste 113,
Appleton, WI 54913-7862
(920) 991-2561
Not Available



Healthcare Provider's Profile

Full NameBlake Randall Van Maanen
GenderMale
SpecialityPhysical Therapy
Experience4 Years
Location2105 E Enterprise Ave Ste 113, Appleton, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Blake Randall Van Maanen graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1659998284
  • Provider Enumeration Date: 06/30/2020
  • Last Update Date: 06/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1850714460
  • Enrollment ID: I20200714003214

Medical Identifiers

Medical identifiers for Blake Randall Van Maanen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659998284NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 15128-24 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Physical Therapy And Sports Medicine Sc236543290357

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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. Blake Randall Van Maanen allows following entities to bill medicare on his behalf.
Provider NameAdvanced Physical Therapy & Sports Medicine Sc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1407857790
PECOS PAC ID: 2365432903
Enrollment ID: O20040514001027

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Read more Medical News

› Verified 3 days ago

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. Blake Randall Van Maanen 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 AddressPractice Location Address
Blake Randall Van Maanen,
2105 E Enterprise Ave Ste 113,
Appleton, WI 54913-7862

Ph: (920) 991-2561
Blake Randall Van Maanen,
2105 E Enterprise Ave Ste 113,
Appleton, WI 54913-7862

Ph: (920) 991-2561

News Archive

Saint Louis University partners with SSM to offer post-professional residency program in orthopedic physical therapy

Saint Louis University's program in physical therapy is partnering with SSM Physical Therapy to offer a post-professional residency program in orthopedic physical therapy.The year-long residency prepares physical therapists to specialize in evaluating, treating and managing patients who have orthopedic problems.

Antidepressants induce new nerve cell growth in the hippocampus

The growth of new nerve cells in the hippocampus has been suggested as the way antidepressants work in rodents, says Eric Nestler, MD, PhD, of the University of Texas Southwestern Medical Center.

Acupuncture better than drugs alone for osteoarthritis of the knee

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Read more News

› Verified 3 days ago


Physical Therapist in Appleton, WI

Orthopedic & Spine Therapy Of Menasha
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4000 N Providence Ave, Appleton, WI 54913
Phone: 920-257-2000    
Ms. Jennifer Lynn Nevinski, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: N496 Milky Way, Appleton, WI 54915
Phone: 920-738-2960    
Chandler Riem,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2105 N Enterprise Ave, Appleton, WI 54913
Phone: 920-560-1000    
Kathleen M. Vandrunen,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2915 N Meade St, Appleton, WI 54911
Phone: 920-831-8711    
Mrs. Lisa Katherine Buehler, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3375 W Brewster St, Appleton, WI 54914
Phone: 920-749-5870    
David Michael Denell, MPT LAT/C
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-4101    
Richelle Ag Fenter, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2200 S Kensington Drive, Appleton, WI 54915
Phone: 920-738-0200    Fax: 920-738-0383

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