John Henry Eidem, DC is a medicare enrolled "Chiropractor" provider in Horicon, Wisconsin. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Chiropractic. His current practice location is
514 E Lake St, Horicon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 485-4009.
John Henry Eidem is licensed to practice in Wisconsin (license number 2303012) 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 1013992627.
Healthcare Provider's Profile
| Full Name | John Henry Eidem |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 37 Years |
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| Location | 514 E Lake St, Horicon, Wisconsin |
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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:
- John Henry Eidem graduated from medical school in 1987
NPI Data:
- NPI Number: 1013992627
- Provider Enumeration Date: 12/07/2005
- Last Update Date: 07/29/2010
Medicare PECOS Information:
- PECOS PAC ID: 6406019355
- Enrollment ID: I20120514000131
Medical Identifiers
Medical identifiers for John Henry Eidem such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013992627 | NPI | - | NPPES |
| 38850600 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 2303012 (Wisconsin) | 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. John Henry Eidem 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 |
|---|
John Henry Eidem, DC
514 E Lake St,
Horicon, WI 53032-1247
Ph: (920) 485-4009 | John Henry Eidem, DC
514 E Lake St,
Horicon, WI 53032-1247
Ph: (920) 485-4009 |
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