TRISHA M BOLDT D-PT NPI 1316474893
Physical Therapist in Green Bay, WI
About TRISHA M BOLDT D-PT
Trisha Boldt is a provider established in Green Bay, Wisconsin and her medical specialization is Physical Therapist with more than 7 years of experience. The NPI number of this provider is 1316474893 and was assigned on May 2017. The practitioner's primary taxonomy code is 225100000X with license number 13698-24 (WI). The provider is registered as an individual and her NPI record was last updated 6 years ago.
| NPI | 1316474893 |
| Provider Name | TRISHA M BOLDT D-PT |
| Location Address | 1630 COMMANCHE AVE GREEN BAY, WI 54313 |
| Location Phone | (920) 430-4700 |
| Mailing Address | PO BOX 22487 GREEN BAY, WI 54305 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Is Sole Proprietor? | No |
| Enumeration Date | 05-16-2017 |
| Last Update Date | 05-16-2017 |
Trisha Boldt is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.4 for a new patient copayment and $17.49 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 225100000X |
| Classification | Physical Therapist |
| Type | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| License No. | 13698-24 |
| License State | WI |
| Taxonomy Description | Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
|
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
1630 COMMANCHE AVE
GREEN BAY, WI
ZIP 54313
Phone: (920) 430-4700
Fax: (920) 430-4747
Mailing Address
PO BOX 22487
GREEN BAY, WI
ZIP 54305
Phone: (920) 445-7226
Fax: (920) 445-7229
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 54313 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $55.63 | $169.16 | $85.6 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $13.9 | $42.29 | $21.4 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99213 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.46 | $138.8 | $69.98 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.36 | $34.7 | $17.49 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Trisha Boldt is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| BELLIN HEALTH OCONTO HOSPITAL | 820 ARBUTUS AVE OCONTO, WI 54153 | (920) 835-1101 | Critical Access Hospitals | 521356 |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13698-24 | OTHER (01) | WI | WISCONSIN STATE LICENSE |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 1 | 6 | 4 | 7 | 4 | 8 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 8 | 7 | 8 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 8 + 7 + 8 + 8 + 1 + 8 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1316474893 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1568456598 | MR. MARK THOMAS HUSEN ATC, LAT Individual | Specialist/Technologist (Athletic Trainer) | 1630 COMMANCHE AVE GREEN BAY, WI 54313 (920) 430-4750 |
| 1639165079 | MR. CHAD ALAN CARTER LAT ATC Individual | Specialist/Technologist (Athletic Trainer) | 1630 COMMANCHE AVE GREEN BAY, WI 54313 (920) 430-4786 |
| 1366438335 | MONICA ANN WAGNER LAT Individual | Specialist/Technologist (Athletic Trainer) | 1630 COMMANCHE AVE GREEN BAY, WI 54313 (920) 430-4750 |
| 1629066451 | MR. TERRY ROBERT BEECK LAT/ATC Individual | Specialist/Technologist (Athletic Trainer) | 1630 COMMANCHE AVE GREEN BAY, WI 54313 (920) 430-4750 |
| 1114917580 | ANGELA YVONNE PUCHALLA LAT, ATC Individual | Specialist/Technologist (Athletic Trainer) | 1630 COMMANCHE AVE GREEN BAY, WI 54313 (920) 655-3005 |
| 1568446300 | STACI M KARBON MD Individual | Pediatrics | 1630 COMMANCHE AVE GREEN BAY, WI 54313 (920) 430-4585 |
| 1760466502 | JAMES THOMAS JERZAK MD Individual | Family Medicine | 1630 COMMANCHE AVE GREEN BAY, WI 54313 (920) 430-4700 |
| 1104801786 | MONICA A CZACHOR PT Individual | Physical Therapist | 1630 COMMANCHE AVE GREEN BAY, WI 54313 (920) 430-4750 |
| 1962487439 | NICOLE D RUNNING CD Individual | Dietitian, Registered | 1630 COMMANCHE AVE GREEN BAY, WI 54313 (920) 430-4750 |
| 1740265107 | RANA J SEPICH RD Individual | Dietitian, Registered | 1630 COMMANCHE AVE GREEN BAY, WI 54313 (920) 430-4700 |
| 1558346916 | SHAI SIMS-BROWN RD Individual | Dietitian, Registered | 1630 COMMANCHE AVE GREEN BAY, WI 54313 (920) 430-4700 |
| 1366427452 | CARLA RENEE BERSCHEIT OT Individual | Occupational Therapist | 1630 COMMANCHE AVE GREEN BAY, WI 54313 (920) 430-4560 |
| 1306821418 | RICHARD H GRENELL PT Individual | Physical Therapist | 1630 COMMANCHE AVE GREEN BAY, WI 54313 (920) 430-4750 |
| 1568447605 | DAVID W NEUENFELDT PT Individual | Physical Therapist | 1630 COMMANCHE AVE GREEN BAY, WI 54313 (920) 430-4750 |
| 1336127240 | SHANE J DEGEN M.D. Individual | Family Medicine | 1630 COMMANCHE AVE GREEN BAY, WI 54313 (920) 430-4700 |
| 1932168507 | JEANINE MARIE ZEAMER LAT,ATC Individual | Specialist/Technologist (Athletic Trainer) | 1630 COMMANCHE AVE GREEN BAY, WI 54313 (920) 430-4755 |
| 1467539684 | DR. MOLLY MAY KLEIMAN M.D. Individual | Internal Medicine (Adolescent Medicine) | 1630 COMMANCHE AVE GREEN BAY, WI 54313 (920) 430-4585 |
| 1003978966 | ANDREA E JONES LAT Individual | Specialist/Technologist (Athletic Trainer) | 1630 COMMANCHE AVE GREEN BAY, WI 54313 (920) 430-4754 |
| 1932247129 | MR. NICHOLAS MILES WINKLER LAT, CSCS Individual | Specialist/Technologist (Athletic Trainer) | 1630 COMMANCHE AVE GREEN BAY, WI 54313 (192) 067-6048 |
| 1508054289 | SHARON A KELLEY PTA Individual | Physical Therapy Assistant | 1630 COMMANCHE AVE GREEN BAY, WI 54313 (920) 430-4746 |
Frequently Asked Questions
What is Trisha Boldt D-PT NPI number?
The NPI number assigned to this healthcare provider is 1316474893, registered as an "individual" on May 16, 2017
Where is the provider located?
The provider is located at 1630 Commanche Ave Green Bay, Wi 54313 and the phone number is (920) 430-4700
What is the provider specialty code?
The provider's speciality is Physical Therapist with taxonomy code 225100000X
How many years of experience does Trisha Boldt D-PT have?
The provider has more than 7 years of experience.
What insurance does Trisha Boldt D-PT accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
How much is a visit to Trisha Boldt D-PT?
Medicare beneficiaries should expect a typical cost of $85.6 with an average copayment of $21.4 for new patient appointments. Established patients should expect a typical charge of $69.98 and an average copayment of 17.49. Please review your insurance plan or contact the provider directly to determine your specific costs.
Is Trisha Boldt D-PT affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: BELLIN HEALTH OCONTO HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Trisha Boldt D-PT was last updated on May 16, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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