Steven 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.
Steven Eidem is licensed to practice in Wisconsin (license number 4976-12) 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 1215351267.
Healthcare Provider's Profile
| Full Name | Steven Eidem |
|---|
| Gender | Male |
|---|
| Speciality | Chiropractor |
|---|
| Location | 514 E Lake St, Horicon, Wisconsin |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1215351267
- Provider Enumeration Date: 02/11/2014
- Last Update Date: 02/11/2014
Medicare PECOS Information:
- PECOS PAC ID: 1456584150
- Enrollment ID: I20140505000655
Medical Identifiers
Medical identifiers for Steven Eidem such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215351267 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 4976-12 (Wisconsin) | 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. Steven Eidem allows following entities to bill medicare on his behalf.
| Provider Name | John H Eidem |
|---|
| Provider Type | Practitioner - Chiropractic |
|---|
| Provider Identifiers | NPI Number: 1013992627
PECOS PAC ID: 6406019355
Enrollment ID: I20120514000131 |
|---|
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. Steven 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 |
|---|
Steven Eidem, DC
514 E Lake St,
Horicon, WI 53032-1265
Ph: (920) 485-4009 | Steven Eidem, DC
514 E Lake St,
Horicon, WI 53032-1265
Ph: (920) 485-4009 |
Reviews and Comments