Luke Michael Spellman, DO - Medicare Pediatrics in Cedar Rapids, IA

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Luke Michael Spellman, DO is a medicare enrolled "Pediatrics - Sports Medicine" physician in Cedar Rapids, Iowa. His current practice location is 855 A Ave Ne Ste 300, Cedar Rapids, Iowa. You can reach out to his office (for appointments etc.) via phone at (319) 368-9300.

Luke Michael Spellman is licensed to practice in Iowa (license number 3875) 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 1215917331.

Contact Information

Luke Michael Spellman, DO
855 A Ave Ne Ste 300,
Cedar Rapids, IA 52402-5064
(319) 368-9300
(319) 368-5690

Map and Direction




Physician's Profile

Full NameLuke Michael Spellman
GenderMale
SpecialityPediatrics - Sports Medicine
Location855 A Ave Ne Ste 300, Cedar Rapids, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215917331
  • Provider Enumeration Date: 01/17/2006
  • Last Update Date: 04/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6608909064
  • Enrollment ID: I20100805000391

Medical Identifiers

Medical identifiers for Luke Michael Spellman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215917331NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080S0010XPediatrics - Sports Medicine 3875 (Iowa)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. Luke Michael Spellman allows following entities to bill medicare on his behalf.
Entity NameIowa Physicians Clinic Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366425274
PECOS PAC ID: 8729992318
Enrollment ID: O20031118000363

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. Luke Michael Spellman 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
Luke Michael Spellman, DO
855 A Ave Ne Ste 300,
Cedar Rapids, IA 52402-5064

Ph: (319) 368-9300		Luke Michael Spellman, DO
855 A Ave Ne Ste 300,
Cedar Rapids, IA 52402-5064

Ph: (319) 368-9300

Reviews and Comments


Pediatrics Doctors in Cedar Rapids, IA

Dr. Kathryn Lorraine Kaufman, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 855 A Ave Ne Ste 300, Cedar Rapids, IA 52402
Phone: 319-368-9301    Fax: 319-368-5690
Staci L Wedel, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 855 A Ave Ne, Suite 300, Cedar Rapids, IA 52402
Phone: 319-368-9300    Fax: 319-368-5690
Haley Plath, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 701 10th St Se, Cedar Rapids, IA 52403
Phone: 319-861-7900    
Nhan-ai Truong, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1026 A Ave Ne, Cedar Rapids, IA 52402
Phone: 319-369-7247    Fax: 319-368-5973
Erin Swieter, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1026 A Ave Ne, Cedar Rapids, IA 52402
Phone: 319-369-7211    
Dr. Dinah M Conti, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 855 A Ave Ne Ste 300, Unity Point Clinics Cedar Rapids - Pediatrics, Cedar Rapids, IA 52402
Phone: 319-368-9300    Fax: 319-368-5690
Dr. Bethany G Vargas, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 411 10th St Se Ste 150, Cedar Rapids, IA 52403
Phone: 319-363-3600    Fax: 319-678-7399

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).

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