Dr Jon Mark Grudem, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in North Sioux City, South Dakota. He went to Oregon Health Sciences University School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Cnos Pc, Cnos Pc and his current practice location is
575 N Sioux Point Rd, North Sioux City, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 217-2667.
Dr Jon Mark Grudem is licensed to practice in South Dakota (license number 7354) 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 1477649531.
Physician's Profile
| Full Name | Dr Jon Mark Grudem |
|---|
| Gender | Male |
|---|
| Speciality | Neurology |
|---|
| Experience | 20 Years |
|---|
| Location | 575 N Sioux Point Rd, North Sioux City, South Dakota |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Jon Mark Grudem attended and graduated from Oregon Health Sciences University School Of Medicine in 2004
NPI Data:
- NPI Number: 1477649531
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 01/13/2011
Medicare PECOS Information:
- PECOS PAC ID: 8921150087
- Enrollment ID: I20090721000248
Medical Identifiers
Medical identifiers for Dr Jon Mark Grudem such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477649531 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 7354 (South Dakota) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 38576 (Iowa) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cnos Pc | 4284548942 | 102 |
| Cnos Pc | 4284548942 | 102 |
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 Jon Mark Grudem allows following entities to bill medicare on his behalf.
| Entity Name | Cnos Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1881604320
PECOS PAC ID: 4284548942
Enrollment ID: O20031117000632 |
|---|
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 Jon Mark Grudem 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 |
|---|
Dr Jon Mark Grudem, MD
575 N Sioux Point Rd,
North Sioux City, SD 57049-5312
Ph: (605) 217-2667 | Dr Jon Mark Grudem, MD
575 N Sioux Point Rd,
North Sioux City, SD 57049-5312
Ph: (605) 217-2667 |
Reviews and Comments