MICHAEL BENNETT BANDKLAYDER
NPI 1720810310
Physical Therapist - Orthopedic in Raleigh, NC

NPI Status: Active since August 14, 2024

Contact Information

8001 T W ALEXANDER DR
RALEIGH, NC
ZIP 27617
Phone: (786) 385-2647

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  • Individual
  • Male
  • Years of Experience 9
  • Physical Therapist
  • Orthopedic
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About MICHAEL BANDKLAYDER

This page provides the complete NPI Profile along with additional information for Michael Bandklayder, a provider established in Raleigh, North Carolina with a medical specialization in Physical Therapist, focusing in orthopedic and more than 9 years of experience. He graduated from Florida International Univ, College Of Medicine in 2017. The healthcare provider is registered in the NPI registry with number 1720810310 assigned on August 2024. The practitioner's primary taxonomy code is 2251X0800X with license number P22679 (NC). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1720810310
Provider Name
MICHAEL BENNETT BANDKLAYDER
Gender
Male
Entity Type
Individual
Location Address
8001 T W ALEXANDER DR RALEIGH, NC 27617
Location Phone
(786) 385-2647
Mailing Address
PO BOX 603949 CHARLOTTE, NC 28260
Mailing Phone
(877) 498-4490
Medical School Name
FLORIDA INTERNATIONAL UNIV, COLLEGE OF MEDICINE
Graduation Year
2017
Is Sole Proprietor?
No
Enumeration Date
08-14-2024
Last Update Date
08-16-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist Orthopedic

Taxonomy Code
2251X0800X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
P22679
License State
NC
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist
Orthopedic

PT33176 (FL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Michael Bandklayder is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 8628501103

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20241023002763

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

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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.
1720810310
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740161032
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 6 + 1 + 0 + 3 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1720810310 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427378876MISS ANJALI SOLANKI D.O.
Individual
Family Medicine8001 T W ALEXANDER DR SUITE 216
RALEIGH, NC 27617
(919) 350-0953
1124577168 LUKE HUDSON
Individual
Physical Therapist8001 T W ALEXANDER DR #224
RALEIGH, NC 27617
(919) 714-7152
1558777441WAKE SPECIALTY PHYSICIANS, LLC
Organization
Orthopaedic Surgery8001 T W ALEXANDER DR SUITE 224
RALEIGH, NC 27617
(919) 232-5020
1699044669WAKE EMERGENCY PHYSICIANS PA
Organization
Emergency Medicine8001 T W ALEXANDER DR
RALEIGH, NC 27617
(843) 237-3378
1356386205 JENNIFER ANNE PENNINGTON OTR CHT
Individual
Occupational Therapist (Hand)8001 T W ALEXANDER DR
RALEIGH, NC 27617
(919) 232-5020
1972914992WAKE SPECIALTY PHYSICIANS LLC
Organization
Family Medicine8001 T W ALEXANDER DR
RALEIGH, NC 27617
(919) 350-0953
1811342645 ROBERTO RUPCICH M.D.
Individual
Family Medicine8001 T W ALEXANDER DR
RALEIGH, NC 27617
(919) 350-0953
1962498832DR. AMY SCHAFER ERICKSON D.O.
Individual
Family Medicine8001 T W ALEXANDER DR
RALEIGH, NC 27617
(919) 350-0953
1932123973DR. JOHN DURWARD HOLLY IV M.D.
Individual
Internal Medicine8001 T W ALEXANDER DR
RALEIGH, NC 27617
(919) 350-0953
1184986028 CHANTEL SPRINGE ROEDNER MD
Individual
Obstetrics & Gynecology8001 T W ALEXANDER DR
RALEIGH, NC 27617
(919) 235-6455
1609897156DR. ROSA YUEH MESSER MD
Individual
Internal Medicine8001 T W ALEXANDER DR
RALEIGH, NC 27617
(919) 350-0953
1841841673 ASHLEY ANN WELCH PA-C
Individual
Physician Assistant (Medical)8001 T W ALEXANDER DR
RALEIGH, NC 27617
(919) 350-0953
1952984676DR. YASMEEN M MANSOUR MD
Individual
Internal Medicine8001 T W ALEXANDER DR
RALEIGH, NC 27617
(919) 350-0953
1710591516 SARA LAURENE GRANT PA-C
Individual
Physician Assistant (Medical)8001 T W ALEXANDER DR
RALEIGH, NC 27617
(919) 350-0953

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720810310, enumerated in the NPI registry as an "individual" on August 14, 2024

The provider is located at 8001 T W Alexander Dr Raleigh, Nc 27617 and the phone number is (786) 385-2647

The provider's speciality is Physical Therapist with taxonomy code 2251X0800X with a focus in Orthopedic

The provider has more than 9 years of experience. He graduated from Florida International Univ, College Of Medicine in 2017.

The provider might be accepting Accepts: Aetna CVS Health and Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 14, 2024. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.