Dr Jimmy A Reidt, DC is a medicare enrolled "Chiropractor" provider in Shell Lake, Wisconsin. He went to Northwestern College Of Chiropractic and graduated in 1992 and has 32 years of diverse experience with area of expertise as Chiropractic. His current practice location is
17 5th Ave, Shell Lake, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 468-2275.
Dr Jimmy A Reidt is licensed to practice in Wisconsin (license number 2861) 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 1508910514.
Healthcare Provider's Profile
| Full Name | Dr Jimmy A Reidt |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 32 Years |
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| Location | 17 5th Ave, Shell Lake, Wisconsin |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jimmy A Reidt attended and graduated from Northwestern College Of Chiropractic in 1992
NPI Data:
- NPI Number: 1508910514
- Provider Enumeration Date: 01/23/2007
- Last Update Date: 06/21/2013
Medicare PECOS Information:
- PECOS PAC ID: 9739348400
- Enrollment ID: I20120316000046
Medical Identifiers
Medical identifiers for Dr Jimmy A Reidt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508910514 | NPI | - | NPPES |
| 38867700 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 2861 (Wisconsin) | Primary |
| 111N00000X | Chiropractor | 3069 (Minnesota) | Secondary |
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 Jimmy A Reidt allows following entities to bill medicare on his behalf.
| Provider Name | Shell Lake Cumberland Chiropractic Clinics Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1023786324
PECOS PAC ID: 3577951904
Enrollment ID: O20211103002951 |
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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 Jimmy A Reidt 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 |
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Dr Jimmy A Reidt, DC
Po Box 637,
Shell Lake, WI 54871-0637
Ph: (715) 468-2275 | Dr Jimmy A Reidt, DC
17 5th Ave,
Shell Lake, WI 54871
Ph: (715) 468-2275 |
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