Lake Norden Family Chiropractic Center is a medicare enrolled "Chiropractor" provider in Lake Norden, South Dakota. Their current practice location is
505 Main Ave, Lake Norden, South Dakota. You can reach out to their office (for appointments etc.) via phone at
(605) 785-3900.
Lake Norden Family Chiropractic Center is licensed to practice in South Dakota (license number 1025) and it also participates in the medicare program. Lake Norden Family Chiropractic Center
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1700062601.
Healthcare Provider's Profile
| Full Name | Lake Norden Family Chiropractic Center |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 505 Main Ave, Lake Norden, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700062601
- Provider Enumeration Date: 01/10/2008
- Last Update Date: 04/07/2011
Medicare PECOS Information:
- PECOS PAC ID: 0244284982
- Enrollment ID: O20050307000116
Medical Identifiers
Medical identifiers for Lake Norden Family Chiropractic Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700062601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 1025 (South Dakota) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lake Norden Family Chiropractic Center acts as a billing entity for following providers:
| Provider Name | Jerad R Bludorn |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1629076435
PECOS PAC ID: 4880585280
Enrollment ID: I20050209000793 |
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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. Lake Norden Family Chiropractic Center 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 |
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Lake Norden Family Chiropractic Center
Po Box 252,
Lake Norden, SD 57248-0252
Ph: (605) 785-3900 | Lake Norden Family Chiropractic Center
505 Main Ave,
Lake Norden, SD 57248-0252
Ph: (605) 785-3900 |
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