Blake William Siersema, PT, DPT - Medicare Physical Therapist in Simpsonville, SC

Blake William Siersema, PT, DPT is a medicare enrolled "Physical Therapist" provider in Simpsonville, South Carolina. His current practice location is 719 Se Main St Ste B, Simpsonville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 233-5128.

Blake William Siersema is licensed to practice in South Carolina (license number 11728) 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 1588361992.

Contact Information

Blake William Siersema, PT, DPT
719 Se Main St Ste B,
Simpsonville, SC 29681-3237
(864) 233-5128
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameBlake William Siersema
GenderMale
SpecialityPhysical Therapist
Location719 Se Main St Ste B, Simpsonville, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588361992
  • Provider Enumeration Date: 02/15/2023
  • Last Update Date: 02/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8820463151
  • Enrollment ID: I20230418002348

Medical Identifiers

Medical identifiers for Blake William Siersema such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588361992NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 11728 (South Carolina)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. Blake William Siersema allows following entities to bill medicare on his behalf.
Provider NameElite Integrated Therapy Centers Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1184673600
PECOS PAC ID: 3274552716
Enrollment ID: O20051115000119

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 William Siersema 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 William Siersema, PT, DPT
1007 Grove Rd Ste C,
Greenville, SC 29605-4630

Ph: (864) 233-5128
Blake William Siersema, PT, DPT
719 Se Main St Ste B,
Simpsonville, SC 29681-3237

Ph: (864) 233-5128

Reviews and Comments


Physical Therapist in Simpsonville, SC

Mrs. Melynda Kosmos,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6 Felhurst Ct, Simpsonville, SC 29681
Phone: 864-412-8900    
Charlotte Walter,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 100 Allawood Ct # 110, Simpsonville, SC 29681
Phone: 864-525-2654    
Rosario Gomez-ochoa, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 203 North Maple Street Ste10, Simpsonville, SC 29681
Phone: 864-757-9846    Fax: 864-757-9847
Erin Elizabeth Parmelee, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 817 Plantation Dr, Simpsonville, SC 29681
Phone: 864-238-2334    
Katelyn Elizabeth Burn, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 300 Scuffletown Rd, Simpsonville, SC 29681
Phone: 864-329-8110    
Holly Nichole Chittenden, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 727 Se Main St Ste 200, Simpsonville, SC 29681
Phone: 864-454-6670    
Accelerated Physical Therapy
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 883 Ne Main St, Simpsonville, SC 29681
Phone: 864-962-8016    Fax: 864-962-8116

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.