Nicholas Jack Bentz, DPT is a medicare enrolled "Physical Therapist" provider in Dauphin, Pennsylvania. His current practice location is
722 Allegheny St Ste 2, Dauphin, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(717) 474-8754.
Nicholas Jack Bentz is licensed to practice in Pennsylvania (license number PT030860) 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 1528778420.
Healthcare Provider's Profile
| Full Name | Nicholas Jack Bentz |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 722 Allegheny St Ste 2, Dauphin, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528778420
- Provider Enumeration Date: 12/01/2022
- Last Update Date: 12/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820468580
- Enrollment ID: I20221221002903
Medical Identifiers
Medical identifiers for Nicholas Jack Bentz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528778420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT030860 (Pennsylvania) | 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. Nicholas Jack Bentz allows following entities to bill medicare on his behalf.
| Provider Name | Madden And Gilbert Physical Therapy Lp |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1063166916
PECOS PAC ID: 4587051537
Enrollment ID: O20220422000139 |
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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. Nicholas Jack Bentz 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 Address | Practice Location Address |
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Nicholas Jack Bentz, DPT
5425 Jonestown Rd Ste 100,
Harrisburg, PA 17112-4086
Ph: (717) 901-6487 | Nicholas Jack Bentz, DPT
722 Allegheny St Ste 2,
Dauphin, PA 17018-8902
Ph: (717) 474-8754 |
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