Dr Adam John Opbroek, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Spearfish, South Dakota. His current practice location is
115 N 7th St, Ste 6, Spearfish, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 645-0100.
Dr Adam John Opbroek is licensed to practice in South Dakota (license number 9789) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629024120.
Physician's Profile
| Full Name | Dr Adam John Opbroek |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 115 N 7th St, Spearfish, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629024120
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 02/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 4385616960
- Enrollment ID: I20091219000069
Medical Identifiers
Medical identifiers for Dr Adam John Opbroek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629024120 | NPI | - | NPPES |
| 2011192 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 9789 (South Dakota) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 9789 (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 Adam John Opbroek allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823 |
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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 Adam John Opbroek 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 Adam John Opbroek, MD
115 N 7th St Ste 6,
Spearfish, SD 57783-2710
Ph: (605) 645-0100 | Dr Adam John Opbroek, MD
115 N 7th St, Ste 6,
Spearfish, SD 57783-2700
Ph: (605) 645-0100 |
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