Simon Bruckner, DC - Medicare Chiropractor in Clackamas, OR

Simon Bruckner, DC is a medicare enrolled "Chiropractor" provider in Clackamas, Oregon. His current practice location is 9123 Se Saint Helens St Ste 185, Clackamas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 206-5042.

Simon Bruckner is licensed to practice in Oregon (license number 6288) 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 1801582952.

Contact Information

Simon Bruckner, DC
9123 Se Saint Helens St Ste 185,
Clackamas, OR 97015-6800
(503) 206-5042
(503) 206-5751

Map and Direction




Healthcare Provider's Profile

Full NameSimon Bruckner
GenderMale
SpecialityChiropractor
Location9123 Se Saint Helens St Ste 185, Clackamas, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801582952
  • Provider Enumeration Date: 04/12/2023
  • Last Update Date: 08/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1254706658
  • Enrollment ID: I20230418000724

Medical Identifiers

Medical identifiers for Simon Bruckner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801582952NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 6288 (Oregon)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. Simon Bruckner allows following entities to bill medicare on his behalf.
Provider NameChiro One Wellness Center Of Tualatin Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1740905314
PECOS PAC ID: 0840667077
Enrollment ID: O20221101001752
Provider NameChiro One Wellness Center Of Happy Valley Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1942996236
PECOS PAC ID: 0042675720
Enrollment ID: O20230502002729

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. Simon Bruckner 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 AddressPractice Location Address
Simon Bruckner, DC
2625 Butterfield Rd Ste 301n,
Oak Brook, IL 60523-1266

Ph: (630) 468-1824
Simon Bruckner, DC
9123 Se Saint Helens St Ste 185,
Clackamas, OR 97015-6800

Ph: (503) 206-5042

Reviews and Comments


Chiropractor in Clackamas, OR

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.