Blake Michael Bodendorfer, MD - Medicare Orthopedic Surgery in Council Bluffs, IA

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Blake Michael Bodendorfer, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Council Bluffs, Iowa. He went to University Of Missouri, Columbia School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Alegent Creighton Clinic, Miller Orthopaedic Affiliates Pc, Shelby County Chris A Myrtue Memorial Hospital, Alegent Creighton Clinic, Cass County Memorial Hospital and his current practice location is 1 Edmundson Pl Ste 500, Council Bluffs, Iowa. You can reach out to his office (for appointments etc.) via phone at (712) 323-5333.

Blake Michael Bodendorfer is licensed to practice in Illinois (license number 036152051) 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 1083000905.

Contact Information

Blake Michael Bodendorfer, MD
1 Edmundson Pl Ste 500,
Council Bluffs, IA 51503-4619
(712) 323-5333
Not Available

Map and Direction




Physician's Profile

Full NameBlake Michael Bodendorfer
GenderMale
SpecialityOrthopedic Surgery
Experience9 Years
Location1 Edmundson Pl Ste 500, Council Bluffs, Iowa
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Blake Michael Bodendorfer attended and graduated from University Of Missouri, Columbia School Of Medicine in 2015
  NPI Data:
  • NPI Number: 1083000905
  • Provider Enumeration Date: 04/07/2015
  • Last Update Date: 08/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0547686313
  • Enrollment ID: I20210709002703

Medical Identifiers

Medical identifiers for Blake Michael Bodendorfer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083000905NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine 036152051 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cass County Memorial HospitalAtlantic, IAHospital
Chi Health LakesideOmaha, NEHospital
Chi Health Mercy Council BluffsCouncil bluffs, IAHospital
Myrtue Medical CenterHarlan, IAHospital
Montgomery County Memorial HospitalRed oak, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Alegent Creighton Clinic1951210418827
Miller Orthopaedic Affiliates Pc438553376911
Shelby County Chris A Myrtue Memorial Hospital519361939337
Alegent Creighton Clinic1951210418827
Cass County Memorial Hospital529463499459

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. Blake Michael Bodendorfer allows following entities to bill medicare on his behalf.
Entity NameClarinda Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629196241
PECOS PAC ID: 4587573993
Enrollment ID: O20031205000207
Entity NameAlegent Creighton Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598811069
PECOS PAC ID: 1951210418
Enrollment ID: O20040116000817
Entity NameShelby County Chris A Myrtue Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598871469
PECOS PAC ID: 5193619393
Enrollment ID: O20040210000133
Entity NameMiller Orthopaedic Affiliates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659379519
PECOS PAC ID: 4385533769
Enrollment ID: O20040312001239

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. Blake Michael Bodendorfer 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
Blake Michael Bodendorfer, MD
1611 W Harrison St Ste 400,
Chicago, IL 60612-4861

Ph: (312) 432-2351		Blake Michael Bodendorfer, MD
1 Edmundson Pl Ste 500,
Council Bluffs, IA 51503-4619

Ph: (712) 323-5333

Reviews and Comments


Orthopaedic Surgery Doctors in Council Bluffs, IA

Dr. Kellen L Huston, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1 Edmundson Pl, Suite 500, Council Bluffs, IA 51503
Phone: 712-323-5333    
Dr. Clifford Kent Boese, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1 Edmundson Pl, Ste 500, Council Bluffs, IA 51503
Phone: 712-323-5333    Fax: 712-323-3252
Dr. James K Mantone, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 808 E Pierce St, Council Bluffs, IA 51503
Phone: 402-390-4111    Fax: 402-390-4115
Dr. Roy Abraham, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1 Edmundson Pl, Ste 500, Council Bluffs, IA 51503
Phone: 712-323-5333    Fax: 712-323-3252
Dr. Thomas Marvin Atteberry, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1 Edmundson Pl, Ste 500, Council Bluffs, IA 51503
Phone: 712-323-5333    Fax: 712-323-3252
Dr. Craig L Hansen, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1 Edmundson Pl Ste 200, Council Bluffs, IA 51503
Phone: 712-396-4020    Fax: 712-396-4025

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.