Jacob K Luder, MD in Sparta, MO - Medicare Anesthesiology

Jacob K Luder, MD - Medicare Anesthesiology in Sparta, MO

Jacob K Luder, MD is a medicare enrolled "Anesthesiology" physician in Sparta, Missouri. His current practice location is 705 Huron Dr, Sparta, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 239-3392.

Jacob K Luder is licensed to practice in Missouri (license number 2000151553) 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 1952396061.

Contact Information

	Jacob K Luder, MD
	705 Huron Dr, Sparta, MO 65753-1117
	(417) 239-3392
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob K Luder
Gender	Male
Speciality	Anesthesiology
Location	705 Huron Dr, Sparta, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952396061
Provider Enumeration Date: 09/14/2005
Last Update Date: 10/28/2022

Medicare PECOS Information:

PECOS PAC ID: 0042265001
Enrollment ID: I20050314000338

Medical Identifiers

Medical identifiers for Jacob K Luder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952396061	NPI	-	NPPES
158591001	Medicaid	AR
204957120	Medicaid	MO
430998	Other	MO	HEALTHLINK
200077430A	Medicaid	OK
194111	Other	MO	BCBS
11171	Other	MO	COX HEALTH
204957104	Medicaid	MO
P00194821	Other	MO	RAILROAD
20174319965616B003	Other	MO	TRICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	2000151553 (Missouri)	Primary

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. Jacob K Luder 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
Jacob K Luder, MD 705 Huron Dr, Sparta, MO 65753-1117 Ph: () -	Jacob K Luder, MD 705 Huron Dr, Sparta, MO 65753-1117 Ph: (417) 239-3392