LUKE ERIC STAUDENMAIER D.C.
NPI 1093702920
Chiropractor in Sturgeon Bay, WI
NPI Status: Active since October 05, 2005
Contact Information
30 N 18TH AVE
SUITE #3
STURGEON BAY, WI
ZIP 54235
Phone: (920) 743-7255
Fax: (920) 743-7256
- Individual
- Male
- Years of Experience 32
- Chiropractor
- Accepts Insurance
- May Accept Medicare Approved Payment
About LUKE STAUDENMAIER
This page provides the complete NPI Profile along with additional information for Luke Staudenmaier, a provider established in Sturgeon Bay, Wisconsin with a medical specialization in Chiropractor and more than 32 years of experience. He graduated from Logan College Of Chiropractic in 1994. The healthcare provider is registered in the NPI registry with number 1093702920 assigned on October 2005. The practitioner's primary taxonomy code is 111N00000X with license number 3209 (WI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1093702920
- Provider Name
- LUKE ERIC STAUDENMAIER D.C.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 30 N 18TH AVE SUITE #3 STURGEON BAY, WI 54235
- Location Phone
- (920) 743-7255
- Location Fax
- (920) 743-7256
- Mailing Address
- 9570 WHITE STAR RD BRUSSELS, WI 54204
- Mailing Phone
- (920) 825-7590
- Medical School Name
- LOGAN COLLEGE OF CHIROPRACTIC
- Graduation Year
- 1994
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-05-2005
- Last Update Date
- 07-08-2007
- Code Navigator
A chiropractor like Luke Staudenmaier helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chiropractor
- Taxonomy Code
- 111N00000X
- Type
- Chiropractic Providers
- License No.
- 3209
- License State
- WI
- Taxonomy Description
- A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Altru Prime by Medica Bronze $0 Copay PCP Visits - HMO
- Altru Prime by Medica Bronze Share - HMO
- Altru Prime by Medica Expanded Bronze Standard - HMO
- Altru Prime by Medica Gold $0 Copay PCP Visits - HMO
- Altru Prime by Medica Gold Share - HMO
- Altru Prime by Medica Gold Standard - HMO
- Altru Prime by Medica Silver $0 Copay PCP Visits - HMO
- Altru Prime by Medica Silver Share - HMO
- Altru Prime by Medica Silver Standard - HMO
- Elevate by Medica Bronze $0 Copay PCP Visits - EPO
- Elevate by Medica Bronze Premier - EPO
- Elevate by Medica Bronze Share - EPO
- Elevate by Medica Expanded Bronze Standard - EPO
- Elevate by Medica Gold $0 Copay PCP Visits - EPO
- Elevate by Medica Gold Share - EPO
- Elevate by Medica Gold Standard - EPO
- Elevate by Medica Silver $0 Copay PCP Visits - EPO
- Elevate by Medica Silver Share - EPO
- Elevate by Medica Silver Standard - EPO
- Engage by Medica Bronze HSA - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value HSA (No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
U53655 | MEDICARE UPIN (02) | WI |
Medicare Participation & PECOS Enrollment Status
Luke Staudenmaier is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 8820089931
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20101201001062
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Chiropractic manipulative treatment, 3-4 spinal regions
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
This service was performed 1,880 times for 97 patientsReviews for LUKE ERIC STAUDENMAIER D.C.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 9 | 3 | 7 | 0 | 2 | 9 | 2 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 18 | 3 | 14 | 0 | 4 | 9 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 1 + 8 + 3 + 1 + 4 + 0 + 4 + 9 + 4 + 24 = 60 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1093702920 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
STAUDENMAIER CHIROPRACTIC WELLNESS CENTER, S.C.
Chiropractor
30 N 18TH AVE
STURGEON BAY, WI
ZIP 54235
DR. JENNIFER K OLSON D.D.S
Dentist
(General Practice)
30 N 18TH AVE
STURGEON BAY, WI
ZIP 54235
DR. TYLER HUBBARD DDS
Dentist
(General Practice)
30 N 18TH AVE
UNIT #2
STURGEON BAY, WI
ZIP 54235
DR. REGAN LUDERS DDS
Dentist
(General Practice)
30 N 18TH AVE
UNIT #2
STURGEON BAY, WI
ZIP 54235
DR. PATRICIA ANN SIGL D.D.S.
Dentist
(General Practice)
30 N 18TH AVE
UNIT #2
STURGEON BAY, WI
ZIP 54235
DOOR COUNTY DENTAL CARE
Dentist
30 N 18TH AVE
2
STURGEON BAY, WI
ZIP 54235
BAYCARE CLINIC, LLP
Ophthalmology
30 N 18TH AVE
STURGEON BAY, WI
ZIP 54235
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093702920, enumerated as an "individual" on October 05, 2005.
The provider is located at 30 N 18TH AVE SUITE #3 STURGEON BAY, WI 54235 and the phone number is (920) 743-7255.
Chiropractor with taxonomy code 111N00000X.
The provider might be accepting Accepts: Medica, UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.