Mikaila E Boldt, DPT in Southern Pines, NC - Medicare Physical Therapist Provider

Mikaila E Boldt, DPT is a medicare enrolled "Physical Therapist" provider in Southern Pines, North Carolina. Her current practice location is 580 S Page St, Southern Pines, North Carolina. You can reach out to her office (for appointments etc.) via phone at (717) 673-2476.

Mikaila E Boldt is licensed to practice in North Carolina (license number P22022) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003318338.

Contact Information

	Mikaila E Boldt, DPT
	580 S Page St, Southern Pines, NC 28387-5837
	(717) 673-2476
	(888) 645-6068

Map and Direction

Healthcare Provider's Profile

Full Name	Mikaila E Boldt
Gender	Female
Speciality	Physical Therapist
Location	580 S Page St, Southern Pines, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003318338
Provider Enumeration Date: 03/02/2018
Last Update Date: 02/14/2024

Medicare PECOS Information:

PECOS PAC ID: 6901293828
Enrollment ID: I20220425000540

Medical Identifiers

Medical identifiers for Mikaila E Boldt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003318338	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P22022 (North 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. Mikaila E Boldt allows following entities to bill medicare on her behalf.

Provider Name	Movementx, Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1851858054 PECOS PAC ID: 8820429616 Enrollment ID: O20220425000310

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. Mikaila E Boldt 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
Mikaila E Boldt, DPT 1327 Se Tacoma St Unit 122, Portland, OR 97202-6639 Ph: (971) 361-9442	Mikaila E Boldt, DPT 580 S Page St, Southern Pines, NC 28387-5837 Ph: (717) 673-2476

Reviews and Comments

Physical Therapist in Southern Pines, NC

Kelsey Lee Rochester, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 275 Pinehurst Ave Ste B, Southern Pines, NC 28387 Phone: 910-603-2788 Fax: 888-452-5964
Mrs. Caroline Goforth Carlson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 500 E Rhode Island Ave, Southern Pines, NC 28387 Phone: 910-692-0371
Kelsie A. Giannoulis, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 275 Pinehurst Ave Ste B, Southern Pines, NC 28387 Phone: 910-603-2788 Fax: 888-452-5964
Ms. Dunfrey S Lombard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 S Bennett St, Southern Pines, NC 28387 Phone: 910-692-8269
Allison Murphy Ryan, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Camelia Way, Southern Pines, NC 28387 Phone: 910-692-9642
Sandhills Sports Performance Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 295 Pinehurst Ave, Southern Pines, NC 28387 Phone: 910-603-2788 Fax: 888-452-5964

Mikaila E Boldt, DPT - Medicare Physical Therapist in Southern Pines, NC