Dr Jerad Robert Bludorn, DC is a medicare enrolled "Chiropractor" provider in Lake Norden, South Dakota. His current practice location is
505 Main Ave, Lake Norden, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 785-3900.
Dr Jerad Robert Bludorn is licensed to practice in South Dakota (license number 1025) 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 1629076435.
Healthcare Provider's Profile
| Full Name | Dr Jerad Robert Bludorn |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 505 Main Ave, Lake Norden, South Dakota |
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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 Jerad Robert Bludorn attended and graduated from in
NPI Data:
- NPI Number: 1629076435
- Provider Enumeration Date: 07/14/2005
- Last Update Date: 11/17/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jerad Robert Bludorn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629076435 | NPI | - | NPPES |
| 4995423 | Other | | BCBS |
| 7601960 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 1025 (South Dakota) | Primary |
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 Jerad Robert Bludorn 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 Jerad Robert Bludorn, DC
505 Main Ave, Po Box 252,
Lake Norden, SD 57248-0252
Ph: (605) 785-3900 | Dr Jerad Robert Bludorn, DC
505 Main Ave,
Lake Norden, SD 57248-0252
Ph: (605) 785-3900 |
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