Dr Clark D Lundgren, DC is a medicare enrolled "Chiropractor" provider in Thompson Falls, Montana. He went to Northwestern College Of Chiropractic and graduated in 1961 and has 63 years of diverse experience with area of expertise as Chiropractic. His current practice location is
2401 Main St E, Suite A, Thompson Falls, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 827-5500.
Dr Clark D Lundgren is licensed to practice in Montana (license number MT472) 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 1376639633.
Healthcare Provider's Profile
| Full Name | Dr Clark D Lundgren |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 63 Years |
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| Location | 2401 Main St E, Thompson Falls, Montana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Clark D Lundgren attended and graduated from Northwestern College Of Chiropractic in 1961
NPI Data:
- NPI Number: 1376639633
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 05/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 6103860531
- Enrollment ID: I20050615001102
Medical Identifiers
Medical identifiers for Dr Clark D Lundgren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376639633 | NPI | - | NPPES |
| 0165360 | Medicaid | MT | |
| 40933 | Other | MT | BCBS |
| 0165376 | Medicaid | MT | |
| 1376639633 | Other | MT | CHIROPRACTIC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 472 (Montana) | Secondary |
| 111N00000X | Chiropractor | MT472 (Montana) | Primary |
Medical Facilities Affiliation
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 Clark D Lundgren allows following entities to bill medicare on his behalf.
| Provider Name | Clark D Lundgren Dc Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1023581808
PECOS PAC ID: 9436490216
Enrollment ID: O20190403002663 |
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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 Clark D Lundgren 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 |
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Dr Clark D Lundgren, DC
Po Box 2084, 2401 Main St E Suite A,
Thompson Falls, MT 59873
Ph: (406) 827-5500 | Dr Clark D Lundgren, DC
2401 Main St E, Suite A,
Thompson Falls, MT 59873
Ph: (406) 827-5500 |
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