Lara A Bleck, PT - Medicare Physical Therapist in Appleton, WI

Lara A Bleck, PT is a medicare enrolled "Physical Therapist" provider in Appleton, Wisconsin. She graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Advanced Physical Therapy And Sports Medicine Sc and her current practice location is 2105 E Enterprise Ave, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 991-2561.

Lara A Bleck is licensed to practice in Wisconsin (license number 6128024) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114002623.

Contact Information

Lara A Bleck, PT
2105 E Enterprise Ave,
Appleton, WI 54913-7862
(920) 991-2561
(920) 991-2563



Healthcare Provider's Profile

Full NameLara A Bleck
GenderFemale
SpecialityPhysical Therapy
Experience31 Years
Location2105 E Enterprise Ave, Appleton, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lara A Bleck graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1114002623
  • Provider Enumeration Date: 10/25/2006
  • Last Update Date: 07/18/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8022085984
  • Enrollment ID: I20040911000100

Medical Identifiers

Medical identifiers for Lara A Bleck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114002623NPI-NPPES
40472100MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 6128024 (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. Lara A Bleck allows following entities to bill medicare on her 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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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. Lara A Bleck 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
Lara A Bleck, PT
2105 E Enterprise Ave,
Appleton, WI 54913-7862

Ph: (920) 991-2561
Lara A Bleck, PT
2105 E Enterprise Ave,
Appleton, WI 54913-7862

Ph: (920) 991-2561

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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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