Maxwell C Samuelson, PT, DPT is a medicare enrolled "Physical Therapist" physician in Mankato, Minnesota. He graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Physical Therapist In Private Practice. His current practice location is
1025 Marsh St, Mankato, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 625-4031.
Maxwell C Samuelson is licensed to practice in Minnesota (license number 13961) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1053073080.
Physician's Profile
| Full Name | Maxwell C Samuelson |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 1 Years |
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| Location | 1025 Marsh St, Mankato, Minnesota |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Maxwell C Samuelson graduated from medical school in 2025
NPI Data:
- NPI Number: 1053073080
- Provider Enumeration Date: 10/07/2021
- Last Update Date: 12/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 1456830975
- Enrollment ID: I20260205001116
Medical Identifiers
Medical identifiers for Maxwell C Samuelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053073080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 13961 (Minnesota) | Secondary |
| 225100000X | Physical Therapist | 13961 (Minnesota) | Primary |
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. Maxwell C Samuelson 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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Maxwell C Samuelson, PT, DPT
Po Box 860912,
Minneapolis, MN 55486-0912
Ph: (507) 284-2511 | Maxwell C Samuelson, PT, DPT
1025 Marsh St,
Mankato, MN 56001-4752
Ph: (507) 625-4031 |
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