Jeremiah Blaser, PT, DPT in Belvidere, IL - Medicare Physical Therapist In Private Practice Provider

Jeremiah Blaser, PT, DPT is a medicare enrolled "Physical Therapist" provider in Belvidere, Illinois. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Advantage Physical Therapy And Sports Rehab, Llc, Cora South Carolina Llc and his current practice location is 1686 Henry Luckow Ln, Belvidere, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 547-4777.

Jeremiah Blaser is licensed to practice in Wisconsin (license number 16127-024) 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 1023533825.

Contact Information

	Jeremiah Blaser, PT, DPT
	1686 Henry Luckow Ln, Belvidere, IL 61008-1705
	(815) 547-4777
	(815) 547-1024

Map and Direction

Healthcare Provider's Profile

Full Name	Jeremiah Blaser
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	8 Years
Location	1686 Henry Luckow Ln, Belvidere, Illinois
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jeremiah Blaser graduated from medical school in 2017

NPI Data:

NPI Number: 1023533825
Provider Enumeration Date: 08/14/2017
Last Update Date: 09/04/2025

Medicare PECOS Information:

PECOS PAC ID: 5698040723
Enrollment ID: I20230622003498

Medical Identifiers

Medical identifiers for Jeremiah Blaser such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023533825	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	CP027048T (Kentucky)	Secondary
225100000X	Physical Therapist	CP027051T (Virginia)	Secondary
225100000X	Physical Therapist	CP027050T (Tennessee)	Secondary
225100000X	Physical Therapist	CP031411T (South Carolina)	Secondary
225100000X	Physical Therapist	070.023017 (Illinois)	Secondary
225100000X	Physical Therapist	CP027049T (Missouri)	Secondary
225100000X	Physical Therapist	16127-024 (Wisconsin)	Primary
225100000X	Physical Therapist	CP042984T (North Carolina)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advantage Physical Therapy And Sports Rehab, Llc	8022016336	178
Cora South Carolina Llc	3173766334	98

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. Jeremiah Blaser allows following entities to bill medicare on his behalf.

Provider Name	Advantage Physical Therapy & Sports Rehab, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881773463 PECOS PAC ID: 8022016336 Enrollment ID: O20061121000412

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. Jeremiah Blaser 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
Jeremiah Blaser, PT, DPT 1686 Henry Luckow Ln, Belvidere, IL 61008-1705 Ph: (815) 547-4777	Jeremiah Blaser, PT, DPT 1686 Henry Luckow Ln, Belvidere, IL 61008-1705 Ph: (815) 547-4777

Reviews and Comments

Physical Therapist in Belvidere, IL

Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1731 Henry Luckow Ln, Belvidere, IL 61008 Phone: 815-544-6967 Fax: 815-544-6984
Nathan Dingess, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1255 Logan Ave, Belvidere, IL 61008 Phone: 815-547-4733 Fax: 815-547-9733
Hannah Marie Rehfeldt, PT, DPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1686 Henry Luckow Ln, Belvidere, IL 61008 Phone: 815-547-4777
Christine M Moore, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 770 Beloit Rd, Belvidere, IL 61008 Phone: 815-398-9491 Fax: 815-381-7498
Mary Louise Wheaton, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2289 Long Ln, Belvidere, IL 61008 Phone: 815-519-5316 Fax: 815-544-6871
Jessica L Sweeney, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 770 Beloit Rd, Belvidere, IL 61008 Phone: 815-398-9491 Fax: 815-381-7498

Jeremiah Blaser, PT, DPT - Medicare Physical Therapist in Belvidere, IL