Dr Jordan G Bruce, MD is a medicare enrolled "Plastic Surgery" physician in La Crosse, Wisconsin. His current practice location is
1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 782-7300.
Dr Jordan G Bruce is licensed to practice in Wisconsin (license number 82491) 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 1700306347.
Physician's Profile
Full Name | Dr Jordan G Bruce |
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Gender | Male |
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Speciality | Plastic Surgery |
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Location | 1836 South Ave, La Crosse, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700306347
- Provider Enumeration Date: 06/25/2017
- Last Update Date: 09/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375998461
- Enrollment ID: I20231010000995
Medical Identifiers
Medical identifiers for Dr Jordan G Bruce such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700306347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 2017021026 (Missouri) | Secondary |
208200000X | Plastic Surgery | 82491 (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. Dr Jordan G Bruce allows following entities to bill medicare on his behalf.
Entity Name | Gundersen Lutheran Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
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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. Dr Jordan G Bruce 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 |
Dr Jordan G Bruce, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Dr Jordan G Bruce, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
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