Dr Jerad Robert Bludorn, DC is a medicare enrolled "Chiropractor" provider in Lake Norden, South Dakota. He went to Northwestern College Of Chiropractic and graduated in 2002 and has 22 years of diverse experience with area of expertise as Chiropractic. 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 | Chiropractic |
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| Experience | 22 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 Northwestern College Of Chiropractic in 2002
NPI Data:
- NPI Number: 1629076435
- Provider Enumeration Date: 07/14/2005
- Last Update Date: 11/17/2011
Medicare PECOS Information:
- PECOS PAC ID: 4880585280
- Enrollment ID: I20050209000793
Medical Identifiers
Medical identifiers for Dr Jerad Robert Bludorn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629076435 | NPI | - | NPPES |
| 4995423 | Other | | BCBS |
| 7601960 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 1025 (South Dakota) | 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 Jerad Robert Bludorn allows following entities to bill medicare on his behalf.
| Provider Name | Lake Norden Family Chiropractic Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1700062601
PECOS PAC ID: 0244284982
Enrollment ID: O20050307000116 |
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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 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 |
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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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