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

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



Healthcare Provider's Profile

Full NameMr Raymond Mack
GenderMale
SpecialityPhysical Therapy
Experience47 Years
Location924 Buffalo St, Manitowoc, 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:
  • 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.
IdentifierTypeStateIssuer
1134192321NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 1765024 (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. Mr Raymond Mack 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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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 AddressPractice 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

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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: Not Enrolled in Medicare
Practice Location: 1650 S 41st St, Manitowoc, WI 54220
Phone: 920-320-3100    Fax: 920-684-3194

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