Dr Blake Jon Lundgren, DPT - Medicare Physical Therapist in Aiken, SC

Dr Blake Jon Lundgren, DPT is a medicare enrolled "Physical Therapist" provider in Aiken, South Carolina. His current practice location is 1397 Silver Bluff Rd Ste 100, Aiken, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 220-1073.

Dr Blake Jon Lundgren is licensed to practice in Maine (license number 5520) 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 1578109153.

Contact Information

Dr Blake Jon Lundgren, DPT
1397 Silver Bluff Rd Ste 100,
Aiken, SC 29803-9784
(803) 220-1073
(803) 380-7044



Healthcare Provider's Profile

Full NameDr Blake Jon Lundgren
GenderMale
SpecialityPhysical Therapist
Location1397 Silver Bluff Rd Ste 100, Aiken, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578109153
  • Provider Enumeration Date: 11/19/2019
  • Last Update Date: 02/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4587086632
  • Enrollment ID: I20200619000212

Medical Identifiers

Medical identifiers for Dr Blake Jon Lundgren such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578109153NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 5520 (Maine)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. Dr Blake Jon Lundgren allows following entities to bill medicare on his behalf.
Provider NameGreenville Proaxis Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1669457859
PECOS PAC ID: 0244267771
Enrollment ID: O20050726000769

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Provider NameProgressive Physical Therapy, Pa
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1093762718
PECOS PAC ID: 0749225324
Enrollment ID: O20070607000644

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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. Dr Blake Jon Lundgren 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
Dr Blake Jon Lundgren, DPT
790 Remington Blvd,
Bolingbrook, IL 60440-4909

Ph: (866) 370-8206
Dr Blake Jon Lundgren, DPT
1397 Silver Bluff Rd Ste 100,
Aiken, SC 29803-9784

Ph: (803) 220-1073

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Physical Therapist in Aiken, SC

Hannah M Shirah, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 181 Town Creek Rd, Aiken, SC 29803
Phone: 803-642-0700    Fax: 803-642-0588
Ms. Darcy Renee Armstrong, PT
Physical Therapist
Medicare: May Accept Medicare Assignments
Practice Location: 681 Silver Bluff Rd Ste A, Aiken, SC 29803
Phone: 803-649-9797    Fax: 803-642-2759
Tiffany L. King, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1730 Silver Bluff Rd, Aiken, SC 29803
Phone: 910-988-5681    
Teresa Beth Stevens, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 310 Barnwell Ave Ne, Aiken, SC 29801
Phone: 803-641-4144    Fax: 803-641-4147
Ms. Mary Kathryn Carroll Medlen, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 690 Medical Park Dr, Aiken, SC 29801
Phone: 803-648-8344    
Melody Marie Conant,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1397 Silver Bluff Rd, Aiken, SC 29803
Phone: 803-220-1073    
Laura Susan Witham, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 681 Silver Bluff Rd, Suite A, Aiken, SC 29803
Phone: 803-649-9797    

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