Keith Edward Pudwill, DC in Sartell, MN - Medicare Chiropractor Provider

Keith Edward Pudwill, DC is a medicare enrolled "Chiropractor" provider in Sartell, Minnesota. His current practice location is 2380 Troop Dr Unit 201, Sartell, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 255-0961.

Keith Edward Pudwill is licensed to practice in Minnesota (license number 7176) 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 1730958752.

Contact Information

	Keith Edward Pudwill, DC
	2380 Troop Dr Unit 201, Sartell, MN 56377-4637
	(320) 255-0961
	(320) 258-4001

Map and Direction

Healthcare Provider's Profile

Full Name	Keith Edward Pudwill
Gender	Male
Speciality	Chiropractor
Location	2380 Troop Dr Unit 201, Sartell, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730958752
Provider Enumeration Date: 01/02/2024
Last Update Date: 06/25/2024

Medicare PECOS Information:

PECOS PAC ID: 9133563307
Enrollment ID: I20240516003325

Medical Identifiers

Medical identifiers for Keith Edward Pudwill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730958752	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	7176 (Minnesota)	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. Keith Edward Pudwill allows following entities to bill medicare on his behalf.

Provider Name	Chiropractic Performance Center, Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1144429283 PECOS PAC ID: 2860435633 Enrollment ID: O20050603000107

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. Keith Edward Pudwill 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
Keith Edward Pudwill, DC 2380 Troop Dr Unit 201, Sartell, MN 56377-4637 Ph: (320) 255-0961	Keith Edward Pudwill, DC 2380 Troop Dr Unit 201, Sartell, MN 56377-4637 Ph: (320) 255-0961

Reviews and Comments

Chiropractor in Sartell, MN

Dr. Jeffrey John Sailer, DC. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 234 Pinecone Rd Ste B, Sartell, MN 56377 Phone: 320-253-5255 Fax: 320-253-5260
Dr. Mark Anthony Brenner, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2380 Troop Drive, Suite 201, Sartell, MN 56377 Phone: 320-252-5599 Fax: 320-253-4585
Mr. Michael Jude Milbauer, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 100 2nd St S, Sartell, MN 56377 Phone: 320-251-2600 Fax: 320-251-4763
Dr. Uvini Amanthi Demuth, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 71 County Road 120 Ste 300, Sartell, MN 56303 Phone: 515-441-4876
Mr. Ryan James Granroth, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 100 2nd St S, Sartell, MN 56377 Phone: 320-251-2600 Fax: 320-251-4763
Elijah Johnson, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1733 Pine Cone Rd S Ste 1200, Sartell, MN 56377 Phone: 320-217-2542
Sailer Family Chiropractic P.a. Chiropractor Medicare: Medicare Enrolled Practice Location: 234 Pinecone Rd Ste B, Sartell, MN 56377 Phone: 320-253-5255 Fax: 320-253-5260

Keith Edward Pudwill, DC - Medicare Chiropractor in Sartell, MN