Dr Cody Lee Kruckenberg, DC in Brandon, SD - Medicare Chiropractic Provider

Dr Cody Lee Kruckenberg, DC is a medicare enrolled "Chiropractor" provider in Brandon, South Dakota. He went to Northwestern College Of Chiropractic and graduated in 2013 and has 13 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Fit For Life Chiropractic, Llc. and his current practice location is 312 E Holly Blvd, Brandon, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 254-7735.

Dr Cody Lee Kruckenberg is licensed to practice in South Dakota (license number 1333) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1790175388.

Contact Information

	Dr Cody Lee Kruckenberg, DC
	312 E Holly Blvd, Brandon, SD 57005
	(605) 254-7735
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Cody Lee Kruckenberg
Gender	Male
Speciality	Chiropractic
Experience	13 Years
Location	312 E Holly Blvd, Brandon, South Dakota
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Cody Lee Kruckenberg attended and graduated from Northwestern College Of Chiropractic in 2013

NPI Data:

NPI Number: 1790175388
Provider Enumeration Date: 02/03/2015
Last Update Date: 05/16/2018

Medicare PECOS Information:

PECOS PAC ID: 4385964600
Enrollment ID: I20190314001038

Medical Identifiers

Medical identifiers for Dr Cody Lee Kruckenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790175388	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	600 (Alaska)	Secondary
111N00000X	Chiropractor	1333 (South Dakota)	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 Cody Lee Kruckenberg allows following entities to bill medicare on his behalf.

Provider Name	Fit For Life Chiropractic, Llc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1740778422 PECOS PAC ID: 5698015428 Enrollment ID: O20190314000737

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 Cody Lee Kruckenberg 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 Cody Lee Kruckenberg, DC 312 E Holly Blvd, Brandon, SD 57005-1240 Ph: (605) 254-7735	Dr Cody Lee Kruckenberg, DC 312 E Holly Blvd, Brandon, SD 57005 Ph: (605) 254-7735

Reviews and Comments

Chiropractor in Brandon, SD

Envive Brandon Prof Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 220 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-3944 Fax: 605-582-3698
Michael John Peterson, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 125 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-8800
Paige Ward, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1302 E Rushmore Dr, Brandon, SD 57005 Phone: 605-583-6546
Dr. Brian John Dozark, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 128 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-8800 Fax: 605-582-8820
Dr. Phillip Myles Dixon, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 220 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-3944 Fax: 605-582-3698
Dr. Eden Mrozek, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 220 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-3944 Fax: 605-582-3698
Dr. David Fitzgerald Ward, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1302 E Rushmore Dr, Brandon, SD 57005 Phone: 605-582-6546

Dr Cody Lee Kruckenberg, DC - Medicare Chiropractor in Brandon, SD