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

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



Healthcare Provider's Profile

Full NameRandall E Boldt
GenderMale
SpecialityPhysical Therapist
Location1008 W 35th St, Davenport, Iowa
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1043277155NPI-NPPES
02562OtherIAIOWA PT LICENSE NUMBER
070-008667OtherILILLINOIS PT LICENSE NO.

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 02562 (Iowa)Primary
225100000XPhysical 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 NameRock Valley Physical Therapy Center
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1245373166
PECOS PAC ID: 9638087877
Enrollment ID: O20040630000390

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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. 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 AddressPractice 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

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Today is the last day of competition at the Special Olympics Minnesota's 2010 Summer Games. Volleyball competition will take place on the third floor of the University of Minnesota's Recreation Center (1906 University Avenue SE) from 9 a.m. to 4 p.m. and tennis competition will be held at Life Time Fitness in Lakeville (18425 Dodd Boulevard) from 9 a.m.-1 p.m. In addition, artistic gymnastics competition will start at 2 p.m. and conclude at 5:30 p.m. at Mini-Hops Gymnastics Club in Minnetonka (131 Cheshire Lane, Suite 100).

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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

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