Blake Michael Bodendorfer, MD in Council Bluffs, IA

Blake Michael Bodendorfer, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Council Bluffs, Iowa. He went to University Of Missouri, Columbia School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Alegent Creighton Clinic, Alegent Creighton Clinic and his current practice location is 1 Edmundson Pl Ste 500, Council Bluffs, Iowa. You can reach out to his office (for appointments etc.) via phone at (712) 323-5333.

Blake Michael Bodendorfer is licensed to practice in Illinois (license number 036152051) 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 1083000905.

Contact Information

	Blake Michael Bodendorfer, MD
	1 Edmundson Pl Ste 500, Council Bluffs, IA 51503-4619
	(712) 323-5333
	Not Available

Map and Direction

Physician's Profile

Full Name	Blake Michael Bodendorfer
Gender	Male
Speciality	Orthopedic Surgery
Experience	9 Years
Location	1 Edmundson Pl Ste 500, Council Bluffs, Iowa
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:

Blake Michael Bodendorfer attended and graduated from University Of Missouri, Columbia School Of Medicine in 2015

NPI Data:

NPI Number: 1083000905
Provider Enumeration Date: 04/07/2015
Last Update Date: 08/02/2021

Medicare PECOS Information:

PECOS PAC ID: 0547686313
Enrollment ID: I20210709002703

Medical Identifiers

Medical identifiers for Blake Michael Bodendorfer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083000905	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XX0005X	Orthopaedic Surgery - Sports Medicine	036152051 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chi Health Lakeside	Omaha, NE	Hospital
Chi Health Mercy Council Bluffs	Council bluffs, IA	Hospital
Chi Health Midlands	Papillion, NE	Hospital
Cass County Memorial Hospital	Atlantic, IA	Hospital
Chi Health Immanuel	Omaha, NE	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Alegent Creighton Clinic	1951210418	851
Alegent Creighton Clinic	1951210418	851

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. Blake Michael Bodendorfer allows following entities to bill medicare on his behalf.

Entity Name	Clarinda Regional Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629196241 PECOS PAC ID: 4587573993 Enrollment ID: O20031205000207

Entity Name	Alegent Creighton Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598811069 PECOS PAC ID: 1951210418 Enrollment ID: O20040116000817

Entity Name	Miller Orthopaedic Affiliates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659379519 PECOS PAC ID: 4385533769 Enrollment ID: O20040312001239

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. Blake Michael Bodendorfer 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
Blake Michael Bodendorfer, MD 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 Ph: (312) 432-2351	Blake Michael Bodendorfer, MD 1 Edmundson Pl Ste 500, Council Bluffs, IA 51503-4619 Ph: (712) 323-5333

Reviews and Comments

Orthopaedic Surgery Doctors in Council Bluffs, IA

Dr. Clifford Kent Boese, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Edmundson Pl, Ste 500, Council Bluffs, IA 51503 Phone: 712-323-5333 Fax: 712-323-3252
Dr. James K Mantone, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 808 E Pierce St, Council Bluffs, IA 51503 Phone: 402-390-4111 Fax: 402-390-4115
Dr. Roy Abraham, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1 Edmundson Pl, Ste 500, Council Bluffs, IA 51503 Phone: 712-323-5333 Fax: 712-323-3252
Dr. Thomas Marvin Atteberry, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Edmundson Pl, Ste 500, Council Bluffs, IA 51503 Phone: 712-323-5333 Fax: 712-323-3252
Dr. Craig L Hansen, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1260 Valley View Dr, Council Bluffs, IA 51503 Phone: 402-609-3000 Fax: 402-609-3808
Dr. Huy Dinh Trinh, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1 Edmundson Pl, Ste 500, Council Bluffs, IA 51503 Phone: 712-323-5333 Fax: 712-323-3252

Blake Michael Bodendorfer, MD - Medicare Orthopedic Surgery in Council Bluffs, IA