Jeremy R Luedtke, MD - Medicare General Surgery in La Porte, IN

Jeremy R Luedtke, MD is a medicare enrolled "Surgery" physician in La Porte, Indiana. He went to Medical College Of Wisconsin and graduated in 2006 and has 18 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Surgical Associates Of Neenah, S.c. and his current practice location is 400 Legacy Plz W, La Porte, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 379-3166.

Jeremy R Luedtke is licensed to practice in Indiana (license number 01079264A) 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 1891900783.

Contact Information

Jeremy R Luedtke, MD
400 Legacy Plz W,
La Porte, IN 46350-5296
(219) 379-3166
(219) 324-9730



Physician's Profile

Full NameJeremy R Luedtke
GenderMale
SpecialityGeneral Surgery
Experience18 Years
Location400 Legacy Plz W, La Porte, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeremy R Luedtke attended and graduated from Medical College Of Wisconsin in 2006
  NPI Data:
  • NPI Number: 1891900783
  • Provider Enumeration Date: 05/14/2007
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1850549031
  • Enrollment ID: I20120912000819

Medical Identifiers

Medical identifiers for Jeremy R Luedtke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891900783NPI-NPPES
07028OtherWIMEDICARE #
300008363MedicaidIN
IN2920085OtherINMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 4301087609 (Michigan)Secondary
208600000XSurgery 57033-20 (Wisconsin)Secondary
208600000XSurgery 01079264A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare Medical Center - ShawanoShawano, WIHospital
Thedacare Regional Med Ctr - NeenahNeenah, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Surgical Associates Of Neenah, S.c.448662525828

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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. Jeremy R Luedtke allows following entities to bill medicare on his behalf.
Entity NameThedacare Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088

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Entity NameSurgical Associates Of Neenah, S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285792341
PECOS PAC ID: 4486625258
Enrollment ID: O20040804001098

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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. Jeremy R Luedtke 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
Jeremy R Luedtke, MD
400 Legacy Plz W,
La Porte, IN 46350-5296

Ph: (219) 379-3166
Jeremy R Luedtke, MD
400 Legacy Plz W,
La Porte, IN 46350-5296

Ph: (219) 379-3166

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Surgery Doctors in La Porte, IN

Christopher Adam Conn, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 600 Legacy Plz W, La Porte, IN 46350
Phone: 219-379-3166    Fax: 219-324-9730
Brian G Moore, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 900 I St Fl 2, La Porte, IN 46350
Phone: 219-575-6060    Fax: 219-575-6004
Dr. Dorene Kay Zerfas, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 901 Lincolnway, Suite 304, La Porte, IN 46350
Phone: 219-362-8523    Fax: 219-324-9396
Dr. Steven William Chmil, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 901 Lincolnway, Suite 304, La Porte, IN 46350
Phone: 219-362-8523    Fax: 219-324-9396
Dr. David Samuel Mendelowitz, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 1300 State Street, Suite 2c, La Porte, IN 46350
Phone: 219-325-0152    Fax: 219-325-8621
James T Cornwell, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 900 I St, La Porte, IN 46350
Phone: 219-324-1700    Fax: 219-324-1602

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