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 11 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Md West One Pc, Shelby County Chris A Myrtue Memorial Hospital, Md West One Pc, Sports Rehab And Professional Therapy Associates Inc, Alegent Creighton Clinic, Alegent Creighton Clinic 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 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 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
Experience11 Years
Location1 Edmundson Pl Ste 500, Council Bluffs, Iowa
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for 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
Chi Health LakesideOmaha, NEHospital
Chi Health MidlandsPapillion, NEHospital
Myrtue Medical CenterHarlan, IAHospital
Methodist Jennie EdmundsonCouncil bluffs, IAHospital
Methodist HospitalOmaha, NEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Md West One Pc044622885289
Shelby County Chris A Myrtue Memorial Hospital519361939349
Md West One Pc044622885289
Sports Rehab And Professional Therapy Associates Inc1658289608124
Alegent Creighton Clinic1951210418951
Alegent Creighton Clinic1951210418951

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 NameMontgomery County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265405310
PECOS PAC ID: 9032015805
Enrollment ID: O20031211000423
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: 1922184175
PECOS PAC ID: 5193619393
Enrollment ID: O20040210000133
Entity NameCommunity Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124112677
PECOS PAC ID: 6103860564
Enrollment ID: O20050616000187
Entity NameMontgomery County Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1376539338
PECOS PAC ID: 9032015805
Enrollment ID: O20061104000347
Entity NameShelby County Chris a Myrtue Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1598871469
PECOS PAC ID: 5193619393
Enrollment ID: O20061104000536
Entity NameCommunity Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1932294071
PECOS PAC ID: 6103860564
Enrollment ID: O20061104000696
Entity NameMD West One PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588616767
PECOS PAC ID: 0446228852
Enrollment ID: O20080403000013

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. 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: Not Enrolled in Medicare
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: 1260 Valley View Dr, Council Bluffs, IA 51503
Phone: 402-609-3000    Fax: 402-609-3808
Dr. Huy Dinh Trinh, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1 Edmundson Pl, Ste 500, Council Bluffs, IA 51503
Phone: 712-323-5333    Fax: 712-323-3252
Dr. Daniel J. Larose, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1 Edmundson Place, Suite 500, Council Bluffs, IA 51503
Phone: 712-323-5333    Fax: 712-323-3252

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.