Dr Jon Anthony Mudlaff Jr, DC in Oak Creek, WI - Medicare Chiropractor Provider

Dr Jon Anthony Mudlaff Jr, DC is a medicare enrolled "Chiropractor" provider in Oak Creek, Wisconsin. His current practice location is 331 E Puetz Rd Ste 101, Oak Creek, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 305-9064.

Dr Jon Anthony Mudlaff Jr is licensed to practice in Wisconsin (license number 5741-12) 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 1528701281.

Contact Information

	Dr Jon Anthony Mudlaff Jr, DC
	331 E Puetz Rd Ste 101, Oak Creek, WI 53154-3254
	(262) 305-9064
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jon Anthony Mudlaff Jr
Gender	Male
Speciality	Chiropractor
Location	331 E Puetz Rd Ste 101, Oak Creek, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528701281
Provider Enumeration Date: 04/19/2022
Last Update Date: 12/29/2023

Medicare PECOS Information:

PECOS PAC ID: 6800239567
Enrollment ID: I20240209000411

Medical Identifiers

Medical identifiers for Dr Jon Anthony Mudlaff Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528701281	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	5741-12 (Wisconsin)	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 Jon Anthony Mudlaff Jr allows following entities to bill medicare on his behalf.

Provider Name	Evolved Chiropractic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548039621 PECOS PAC ID: 4082057740 Enrollment ID: O20240209000377

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 Jon Anthony Mudlaff Jr 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 Jon Anthony Mudlaff Jr, DC 331 E Puetz Rd Ste 101, Oak Creek, WI 53154-3254 Ph: (414) 667-2838	Dr Jon Anthony Mudlaff Jr, DC 331 E Puetz Rd Ste 101, Oak Creek, WI 53154-3254 Ph: (262) 305-9064

Reviews and Comments

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Dr Jon Anthony Mudlaff Jr, DC - Medicare Chiropractor in Oak Creek, WI