John Henry Eidem, DC is a medicare enrolled "Chiropractor" provider in Horicon, Wisconsin. 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 | |
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| Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1013992627
- Provider Enumeration Date: 12/07/2005
- Last Update Date: 07/29/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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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