Jeremy R Luedtke, MD in La Porte, IN - Medicare General Surgery

Jeremy R Luedtke, MD is a medicare enrolled "Surgery" physician in La Porte, Indiana. He went to Medical College Of Wisconsin and graduated in 2006 and has 18 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Surgical Associates Of Neenah, S.c. and his current practice location is 400 Legacy Plz W, La Porte, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 379-3166.

Jeremy R Luedtke is licensed to practice in Indiana (license number 01079264A) 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 1891900783.

Contact Information

	Jeremy R Luedtke, MD
	400 Legacy Plz W, La Porte, IN 46350-5296
	(219) 379-3166
	(219) 324-9730

Map and Direction

Physician's Profile

Full Name	Jeremy R Luedtke
Gender	Male
Speciality	General Surgery
Experience	18 Years
Location	400 Legacy Plz W, La Porte, Indiana
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:

Jeremy R Luedtke attended and graduated from Medical College Of Wisconsin in 2006

NPI Data:

NPI Number: 1891900783
Provider Enumeration Date: 05/14/2007
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 1850549031
Enrollment ID: I20120912000819

Medical Identifiers

Medical identifiers for Jeremy R Luedtke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891900783	NPI	-	NPPES
07028	Other	WI	MEDICARE #
300008363	Medicaid	IN
IN2920085	Other	IN	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	4301087609 (Michigan)	Secondary
208600000X	Surgery	57033-20 (Wisconsin)	Secondary
208600000X	Surgery	01079264A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thedacare Medical Center - Shawano	Shawano, WI	Hospital
Thedacare Regional Med Ctr - Neenah	Neenah, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Surgical Associates Of Neenah, S.c.	4486625258	28

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. Jeremy R Luedtke allows following entities to bill medicare on his behalf.

Entity Name	Thedacare Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

Entity Name	Surgical Associates Of Neenah, S.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285792341 PECOS PAC ID: 4486625258 Enrollment ID: O20040804001098

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. Jeremy R Luedtke 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
Jeremy R Luedtke, MD 400 Legacy Plz W, La Porte, IN 46350-5296 Ph: (219) 379-3166	Jeremy R Luedtke, MD 400 Legacy Plz W, La Porte, IN 46350-5296 Ph: (219) 379-3166

Reviews and Comments

Surgery Doctors in La Porte, IN

Christopher Adam Conn, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 Legacy Plz W, La Porte, IN 46350 Phone: 219-379-3166 Fax: 219-324-9730
Brian G Moore, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 I St Fl 2, La Porte, IN 46350 Phone: 219-575-6060 Fax: 219-575-6004
Dr. Dorene Kay Zerfas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Lincolnway, Suite 304, La Porte, IN 46350 Phone: 219-362-8523 Fax: 219-324-9396
Dr. Steven William Chmil, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 901 Lincolnway, Suite 304, La Porte, IN 46350 Phone: 219-362-8523 Fax: 219-324-9396
Dr. David Samuel Mendelowitz, MD Surgery Medicare: Medicare Enrolled Practice Location: 1300 State Street, Suite 2c, La Porte, IN 46350 Phone: 219-325-0152 Fax: 219-325-8621
James T Cornwell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 I St, La Porte, IN 46350 Phone: 219-324-1700 Fax: 219-324-1602

Jeremy R Luedtke, MD - Medicare General Surgery in La Porte, IN