Jack V, Lundbohm Inc is a medicare enrolled primary clinic (Clinic/center) in Roseau, Minnesota. The current practice location for Jack V, Lundbohm Inc is 317 2nd St Nw, Suite A, Roseau, Minnesota. For appointments, you can reach them via phone at
(218) 463-2992. The mailing address for Jack V, Lundbohm Inc is 317 2nd St Nw, Suite A, Roseau, Minnesota and phone number is (218) 463-2992.
Jack V, Lundbohm Inc is licensed to practice in Minnesota (license number 1792). The clinic also participates in the medicare program and its
NPI number is 1780822486. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(218) 463-2992.
Primary Care Clinic Profile
Full Name | Jack V, Lundbohm Inc |
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Speciality | Clinic/Center |
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Location | 317 2nd St Nw, Roseau, Minnesota |
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Authorized Official Name and Position | Jack V Lundbohm (PRESIDENT) |
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Authorized Official Contact | 2184632992 |
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Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jack V, Lundbohm Inc 317 2nd St Nw Suite A Roseau MN 56751-1070 Ph: (218) 463-2992 | Jack V, Lundbohm Inc 317 2nd St Nw Suite A Roseau MN 56751-1070 Ph: (218) 463-2992 |
NPI Details:
NPI Number | 1780822486 |
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Provider Enumeration Date | 02/03/2009 |
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Last Update Date | 02/03/2009 |
Medicare PECOS Information:
Medicare PECOS PAC ID | 7113077504 |
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Medicare Enrollment ID | O20090605000084 |
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Medical Identifiers
Medical identifiers for Jack V, Lundbohm Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780822486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
261Q00000X | Clinic/center | 1792 (Minnesota) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Jack V, Lundbohm Inc acts as a billing entity for following providers:
Provider Name | Jack V Lundbohm |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1275632234 PECOS PAC ID: 0749217974 Enrollment ID: I20050720000153 |
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