Dr Douglas Anthony Jordahl, DC is a medicare enrolled "Chiropractor" provider in Rantoul, Illinois. His current practice location is
1640 E Grove Ave, Rantoul, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 892-5770.
Dr Douglas Anthony Jordahl is licensed to practice in Illinois (license number ) 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 1710945894.
Healthcare Provider's Profile
| Full Name | Dr Douglas Anthony Jordahl |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 1640 E Grove Ave, Rantoul, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710945894
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1456410067
- Enrollment ID: I20081111000321
Medical Identifiers
Medical identifiers for Dr Douglas Anthony Jordahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710945894 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (Illinois) | 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. Dr Douglas Anthony Jordahl allows following entities to bill medicare on his behalf.
| Provider Name | Jordahl Chiropractic & Rehabilitation Clinic Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1467677179
PECOS PAC ID: 1658430269
Enrollment ID: O20081111000279 |
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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 Douglas Anthony Jordahl 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 Douglas Anthony Jordahl, DC
1640 E Grove Ave,
Rantoul, IL 61866-2737
Ph: (217) 892-5770 | Dr Douglas Anthony Jordahl, DC
1640 E Grove Ave,
Rantoul, IL 61866-2737
Ph: (217) 892-5770 |
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