Blake Bredeson, DC in Manitowoc, WI - Medicare Chiropractor Provider

Blake Bredeson, DC is a medicare enrolled "Chiropractor" provider in Manitowoc, Wisconsin. His current practice location is 210 E Reed Ave, Manitowoc, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 682-1111.

Blake Bredeson is licensed to practice in Wisconsin (license number 6210-12) 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 1932899150.

Contact Information

	Blake Bredeson, DC
	210 E Reed Ave, Manitowoc, WI 54220-2121
	(920) 682-1111
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Blake Bredeson
Gender	Male
Speciality	Chiropractor
Location	210 E Reed Ave, Manitowoc, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932899150
Provider Enumeration Date: 05/10/2023
Last Update Date: 08/14/2024

Medicare PECOS Information:

PECOS PAC ID: 0840738845
Enrollment ID: I20240821000711

Medical Identifiers

Medical identifiers for Blake Bredeson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932899150	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	6210-12 (Wisconsin)	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. Blake Bredeson allows following entities to bill medicare on his behalf.

Provider Name	Maritime Chiropractic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1891490496 PECOS PAC ID: 0648639856 Enrollment ID: O20230706002623

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. Blake Bredeson 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
Blake Bredeson, DC 210 E Reed Ave, Manitowoc, WI 54220-2121 Ph: (920) 682-1111	Blake Bredeson, DC 210 E Reed Ave, Manitowoc, WI 54220-2121 Ph: (920) 682-1111

Reviews and Comments

Chiropractor in Manitowoc, WI

Mr. Dean Allen Willhite, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3713 Calumet Avenue, Manitowoc, WI 54220 Phone: 920-682-6680 Fax: 920-682-6983
Dr. Bryce Fischer, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1632 N 18th St, Manitowoc, WI 54220 Phone: 920-652-0116 Fax: 920-652-0117
Align Chiropractic & Wellness Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 536 N 9th St, Manitowoc, WI 54220 Phone: 920-717-0512
Mr. Christopher Wayne Thomas, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3713 Calumet Avenue, Manitowoc, WI 54220 Phone: 920-682-6680 Fax: 920-682-6983
Dr. Jamie Heiman, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 4100 Dewey St, Manitowoc, WI 54220 Phone: 920-686-5700 Fax: 920-686-5726
Dr. Ronald Joseph Linzmeier, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 210 E Reed Ave, Manitowoc, WI 54220 Phone: 920-682-1111 Fax: 920-682-1501
Advanced Family Chiropractic Clinics Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 1632 N 18th St, Manitowoc, WI 54220 Phone: 920-652-0116 Fax: 920-652-0117

Blake Bredeson, DC - Medicare Chiropractor in Manitowoc, WI