Logan Klettenberg, DC is a medicare enrolled "Chiropractor" provider in Bagley, Minnesota. He went to Palmer College Chiropractic - Davenport and graduated in 2015 and has 9 years of diverse experience with area of expertise as Chiropractic. His current practice location is
119 Main Ave N, Bagley, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 252-9455.
Logan Klettenberg is licensed to practice in Minnesota (license number 6119) 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 1083090765.
Healthcare Provider's Profile
Full Name | Logan Klettenberg |
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Gender | Male |
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Speciality | Chiropractic |
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Experience | 9 Years |
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Location | 119 Main Ave N, Bagley, Minnesota |
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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. |
Medical Education and Training:
- Logan Klettenberg attended and graduated from Palmer College Chiropractic - Davenport in 2015
NPI Data:
- NPI Number: 1083090765
- Provider Enumeration Date: 08/05/2015
- Last Update Date: 01/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163736836
- Enrollment ID: I20150810000559
Medical Identifiers
Medical identifiers for Logan Klettenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083090765 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 6119 (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. Logan Klettenberg allows following entities to bill medicare on his behalf.
Provider Name | Klettenberg Chiropractic Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1104399708 PECOS PAC ID: 1759621618 Enrollment ID: O20190313000749 |
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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. Logan Klettenberg 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 |
Logan Klettenberg, DC Po Box 872, Bagley, MN 56621-0872 Ph: (186) 942-2422 | Logan Klettenberg, DC 119 Main Ave N, Bagley, MN 56621-8316 Ph: (218) 252-9455 |
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