Traditionally Healthy - Medicare Chiropractor in Minneapolis, MN

Traditionally Healthy is a medicare enrolled "Chiropractor" provider in Minneapolis, Minnesota. Their current practice location is 1211 Jackson St Ne, Suite 121, Minneapolis, Minnesota. You can reach out to their office (for appointments etc.) via phone at (612) 382-7408.

Traditionally Healthy is licensed to practice in Minnesota (license number 3928) and it also participates in the medicare program. Traditionally Healthy is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1861819989.

Contact Information

Traditionally Healthy
1211 Jackson St Ne, Suite 121,
Minneapolis, MN 55413
(612) 382-7408
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTraditionally Healthy
TypeFacility
SpecialityChiropractor
Location1211 Jackson St Ne, Minneapolis, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861819989
  • Provider Enumeration Date: 03/26/2014
  • Last Update Date: 03/26/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2567689169
  • Enrollment ID: O20140805001924

Medical Identifiers

Medical identifiers for Traditionally Healthy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861819989NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 3928 (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. Traditionally Healthy acts as a billing entity for following providers:
Provider NameCarrie E Clark
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1164461703
PECOS PAC ID: 6406859487
Enrollment ID: I20060811000191
Provider NameKelsey M Lloyd
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1154731842
PECOS PAC ID: 0840512497
Enrollment ID: I20141210000106
Provider NameKatie Jo Klundt
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1376204479
PECOS PAC ID: 9830586049
Enrollment ID: I20220418001541

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. Traditionally Healthy 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 AddressPractice Location Address
Traditionally Healthy
9744 Woodridge Dr,
Eden Prairie, MN 55347-4249

Ph: (612) 382-7497
Traditionally Healthy
1211 Jackson St Ne, Suite 121,
Minneapolis, MN 55413

Ph: (612) 382-7408

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.