Dr Bradley Douglas Lidvall, DC in Davenport, IA - Medicare Chiropractic Provider

Dr Bradley Douglas Lidvall, DC is a medicare enrolled "Chiropractor" provider in Davenport, Iowa. He went to Life Chiropractic College and graduated in 2020 and has 4 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Pearl City Chiropractic Llc and his current practice location is 2220 E 53rd St, Davenport, Iowa. You can reach out to his office (for appointments etc.) via phone at (480) 200-2983.

Dr Bradley Douglas Lidvall is licensed to practice in Iowa (license number 101934) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033725866.

Contact Information

	Dr Bradley Douglas Lidvall, DC
	2220 E 53rd St, Davenport, IA 52807-2704
	(480) 200-2983
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Bradley Douglas Lidvall
Gender	Male
Speciality	Chiropractic
Experience	4 Years
Location	2220 E 53rd St, Davenport, Iowa
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Bradley Douglas Lidvall attended and graduated from Life Chiropractic College in 2020

NPI Data:

NPI Number: 1033725866
Provider Enumeration Date: 09/17/2020
Last Update Date: 09/17/2020

Medicare PECOS Information:

PECOS PAC ID: 3072933019
Enrollment ID: I20201013003541

Medical Identifiers

Medical identifiers for Dr Bradley Douglas Lidvall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033725866	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	101934 (Iowa)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pearl City Chiropractic Llc	0345637369	2

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. Dr Bradley Douglas Lidvall allows following entities to bill medicare on his behalf.

Provider Name	Quad City Wellness Group, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1982135976 PECOS PAC ID: 4981971264 Enrollment ID: O20170517002570

Provider Name	Pearl City Chiropractic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326788175 PECOS PAC ID: 0345637369 Enrollment ID: O20220421001775

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. Dr Bradley Douglas Lidvall 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
Dr Bradley Douglas Lidvall, DC 28010 238th St, Le Claire, IA 52753-9126 Ph: (480) 200-2983	Dr Bradley Douglas Lidvall, DC 2220 E 53rd St, Davenport, IA 52807-2704 Ph: (480) 200-2983

Reviews and Comments

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Dr Bradley Douglas Lidvall, DC - Medicare Chiropractor in Davenport, IA