Jack Victor Lundbohm, is a medicare enrolled "Chiropractor" provider in Roseau, Minnesota. His current practice location is
317 2nd St Nw Ste A, Roseau, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 463-2992.
Jack Victor Lundbohm is licensed to practice in Minnesota (license number 1792) 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 1275632234.
Healthcare Provider's Profile
Full Name | Jack Victor Lundbohm |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 317 2nd St Nw Ste A, Roseau, Minnesota |
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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. |
Medical Education and Training:
- Jack Victor Lundbohm attended and graduated from in
NPI Data:
- NPI Number: 1275632234
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 09/07/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jack Victor Lundbohm such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275632234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 1792 (Minnesota) | 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. Jack Victor Lundbohm 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 |
Jack Victor Lundbohm, 317 2nd St Nw Ste A, Roseau, MN 56751 Ph: (218) 463-2992 | Jack Victor Lundbohm, 317 2nd St Nw Ste A, Roseau, MN 56751 Ph: (218) 463-2992 |
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