Maxwell Jon Bodholdt, DPT in Ottumwa, IA - Medicare Physical Therapist Provider

Maxwell Jon Bodholdt, DPT is a medicare enrolled "Physical Therapist" provider in Ottumwa, Iowa. His current practice location is 1001 Pennsylvania Ave, Ottumwa, Iowa. You can reach out to his office (for appointments etc.) via phone at (641) 684-2300.

Maxwell Jon Bodholdt is licensed to practice in Iowa (license number 127542) 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 1639904279.

Contact Information

	Maxwell Jon Bodholdt, DPT
	1001 Pennsylvania Ave, Ottumwa, IA 52501-6427
	(641) 684-2300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Maxwell Jon Bodholdt
Gender	Male
Speciality	Physical Therapist
Location	1001 Pennsylvania Ave, Ottumwa, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639904279
Provider Enumeration Date: 09/04/2024
Last Update Date: 09/04/2024

Medicare PECOS Information:

PECOS PAC ID: 4880112853
Enrollment ID: I20250514001857

Medical Identifiers

Medical identifiers for Maxwell Jon Bodholdt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639904279	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	127542 (Iowa)	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. Maxwell Jon Bodholdt allows following entities to bill medicare on his behalf.

Provider Name	Central Iowa Physio Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1821488800 PECOS PAC ID: 2062732118 Enrollment ID: O20150930000716

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 Jon Bodholdt 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
Maxwell Jon Bodholdt, DPT 4250 N Drinkwater Blvd Ste 100, Scottsdale, AZ 85251-3982 Ph: (855) 466-8773	Maxwell Jon Bodholdt, DPT 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 Ph: (641) 684-2300

Reviews and Comments

Physical Therapist in Ottumwa, IA

Kylie Batterson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 S Washington St, Ottumwa, IA 52501 Phone: 641-682-8171 Fax: 641-682-9054
Rachel Lee Goedken, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-684-2440
Mrs. Angella Sue Cartwright, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: South East Iowa Physical Therapy, 115 S Washington St, Ottumwa, IA 52501 Phone: 641-682-8171 Fax: 641-682-9054
Linh Yen Nguyen, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-684-2300
Mrs. Heather K Voyles, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: South East Iowa Physical Therapy, 115 S Washington St, Ottumwa, IA 52501 Phone: 641-682-8171 Fax: 641-682-9054
Chad M Kelley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 522 N Hancock St, Ottumwa, IA 52501 Phone: 641-683-0860 Fax: 641-683-0861
John T. Voyles And Or Heather K. Voyles Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: South East Iowa Physical Therapy, 115 S Washington St, Ottumwa, IA 52501 Phone: 641-682-8171 Fax: 641-682-9054

Maxwell Jon Bodholdt, DPT - Medicare Physical Therapist in Ottumwa, IA