Dr Scott Edward Omdalen, DC is a medicare enrolled "Chiropractor" provider in Mayville, North Dakota. He went to Palmer College Chiropractic - West Sunnyvale and graduated in 1988 and has 36 years of diverse experience with area of expertise as Chiropractic. His current practice location is
45 1st Ave Se, Mayville, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 786-4024.
Dr Scott Edward Omdalen is licensed to practice in North Dakota (license number 486) 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 1376635755.
Healthcare Provider's Profile
| Full Name | Dr Scott Edward Omdalen |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 36 Years |
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| Location | 45 1st Ave Se, Mayville, North 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 Scott Edward Omdalen attended and graduated from Palmer College Chiropractic - West Sunnyvale in 1988
NPI Data:
- NPI Number: 1376635755
- Provider Enumeration Date: 09/29/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2567450471
- Enrollment ID: I20040503000781
Medical Identifiers
Medical identifiers for Dr Scott Edward Omdalen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376635755 | NPI | - | NPPES |
| 24295 | Other | ND | BCBS |
| 16235 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 486 (North 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 Scott Edward Omdalen allows following entities to bill medicare on his behalf.
| Provider Name | Omdalen Chiropractic Clinic Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1346365079
PECOS PAC ID: 4284622184
Enrollment ID: O20040430001121 |
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| Provider Name | Van Dam Chiropractic, Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1205038023
PECOS PAC ID: 4587755889
Enrollment ID: O20070731000697 |
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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 Scott Edward Omdalen 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 Scott Edward Omdalen, DC
45 1st Ave Se,
Mayville, ND 58257
Ph: (701) 786-4024 | Dr Scott Edward Omdalen, DC
45 1st Ave Se,
Mayville, ND 58257
Ph: (701) 786-4024 |
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