Jacob B Gunderson, DC, ATC in Elk River, MN - Medicare Chiropractor Provider

Jacob B Gunderson, DC, ATC is a medicare enrolled "Chiropractor" provider in Elk River, Minnesota. His current practice location is 19260 Evans St Nw, Elk River, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 441-7788.

Jacob B Gunderson is licensed to practice in Minnesota (license number 7215) 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 1780157669.

Contact Information

	Jacob B Gunderson, DC, ATC
	19260 Evans St Nw, Elk River, MN 55330-1076
	(763) 441-7788
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob B Gunderson
Gender	Male
Speciality	Chiropractor
Location	19260 Evans St Nw, Elk River, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780157669
Provider Enumeration Date: 01/03/2019
Last Update Date: 02/29/2024

Medicare PECOS Information:

PECOS PAC ID: 6901245992
Enrollment ID: I20240424000988

Medical Identifiers

Medical identifiers for Jacob B Gunderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780157669	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	7215 (Minnesota)	Primary
2255A2300X	Specialist/technologist - Athletic Trainer	(* (Not Available))	Secondary

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. Jacob B Gunderson allows following entities to bill medicare on his behalf.

Provider Name	Bodywise Chiropractic Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699809756 PECOS PAC ID: 2264456433 Enrollment ID: O20060116000348

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. Jacob B Gunderson 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
Jacob B Gunderson, DC, ATC 19260 Evans St Nw, Elk River, MN 55330-1076 Ph: (763) 441-7788	Jacob B Gunderson, DC, ATC 19260 Evans St Nw, Elk River, MN 55330-1076 Ph: (763) 441-7788

Reviews and Comments

Chiropractor in Elk River, MN

Michael Harold Rafferty, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 653 Main St Nw, Elk River, MN 55330 Phone: 763-441-2411
Dr. Benjamin Robert Kinderman, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 530 3rd St Nw, Elk River, MN 55330 Phone: 763-587-4800 Fax: 763-587-4885
Power Within Chiropractic Of Elk River Chiropractor Medicare: Medicare Enrolled Practice Location: 804 Freeport Ave Nw, Suite A, Elk River, MN 55330 Phone: 763-441-3830
Dr. Todd Anderson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 231 Main St Nw Ste 2, Elk River, MN 55330 Phone: 636-735-3534
Dr. Lauren Ashley Kinderman, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 530 3rd St Nw, Elk River, MN 55330 Phone: 763-587-4800 Fax: 651-587-4885
Jennifer Kay Dahlseid, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 200 5th St Nw Ste J, Elk River, MN 55330 Phone: 320-290-0449
Jeffrey Schneider, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 19242 Evans St Nw, Elk River, MN 55330 Phone: 763-241-5393

Jacob B Gunderson, DC, ATC - Medicare Chiropractor in Elk River, MN