Jacob K Luder, MD is a medicare enrolled "Anesthesiology" physician in Sparta, Missouri. His current practice location is
705 Huron Dr, Sparta, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 239-3392.
Jacob K Luder is licensed to practice in Missouri (license number 2000151553) 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 1952396061.
Physician's Profile
Full Name | Jacob K Luder |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 705 Huron Dr, Sparta, Missouri |
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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:
- Jacob K Luder attended and graduated from in
NPI Data:
- NPI Number: 1952396061
- Provider Enumeration Date: 09/14/2005
- Last Update Date: 10/28/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jacob K Luder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952396061 | NPI | - | NPPES |
158591001 | Medicaid | AR | |
204957120 | Medicaid | MO | |
430998 | Other | MO | HEALTHLINK |
200077430A | Medicaid | OK | |
194111 | Other | MO | BCBS |
11171 | Other | MO | COX HEALTH |
204957104 | Medicaid | MO | |
P00194821 | Other | MO | RAILROAD |
20174319965616B003 | Other | MO | TRICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 2000151553 (Missouri) | Primary |
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. Jacob K Luder 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 |
Jacob K Luder, MD 705 Huron Dr, Sparta, MO 65753-1117 Ph: () - | Jacob K Luder, MD 705 Huron Dr, Sparta, MO 65753-1117 Ph: (417) 239-3392 |
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