Dr David R Lonbaken, DPM is a medicare enrolled "Podiatrist" provider in Pierre, South Dakota. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Avera St Marys and his current practice location is
100 Mac Lane, Avera Medical Group Pierre, Pierre, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 224-7070.
Dr David R Lonbaken is licensed to practice in South Dakota (license number SD131) 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 1760458202.
Healthcare Provider's Profile
| Full Name | Dr David R Lonbaken |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 32 Years |
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| Location | 100 Mac Lane, Pierre, South Dakota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr David R Lonbaken graduated from medical school in 1992
NPI Data:
- NPI Number: 1760458202
- Provider Enumeration Date: 02/24/2006
- Last Update Date: 04/04/2012
Medicare PECOS Information:
- PECOS PAC ID: 0749273431
- Enrollment ID: I20050919000539
Medical Identifiers
Medical identifiers for Dr David R Lonbaken such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760458202 | NPI | - | NPPES |
| 6800190 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 131 (South Dakota) | Secondary |
| 213E00000X | Podiatrist | SD131 (South Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Avera St Marys | 0143134965 | 84 |
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 David R Lonbaken allows following entities to bill medicare on his behalf.
| Provider Name | Avera St Marys |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1669457180
PECOS PAC ID: 0143134965
Enrollment ID: O20040225000579 |
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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 David R Lonbaken 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 David R Lonbaken, DPM
100 Mac Lane, Avera Medical Group Pierre,
Pierre, SD 57501
Ph: (605) 224-7070 | Dr David R Lonbaken, DPM
100 Mac Lane, Avera Medical Group Pierre,
Pierre, SD 57501
Ph: (605) 224-7070 |
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