Mrs Iva K Conde, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Lake Charles, Louisiana. Her current practice location is
2802 Hodges St, Lake Charles, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(337) 419-1873.
Mrs Iva K Conde is licensed to practice in Louisiana (license number 208357) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831212943.
Healthcare Provider's Profile
Full Name | Mrs Iva K Conde |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 2802 Hodges St, Lake Charles, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831212943
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 07/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 6709232945
- Enrollment ID: I20231025001091
Medical Identifiers
Medical identifiers for Mrs Iva K Conde such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831212943 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 208357 (Louisiana) | 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. Mrs Iva K Conde allows following entities to bill medicare on her behalf.
Entity Name | Imperial Calcasieu Human Services Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578601746 PECOS PAC ID: 2860629839 Enrollment ID: O20131219000151 |
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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. Mrs Iva K Conde 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 |
Mrs Iva K Conde, APRN, PMHNP-BC 2802 Hodges St, Lake Charles, LA 70601-7368 Ph: (337) 309-9339 | Mrs Iva K Conde, APRN, PMHNP-BC 2802 Hodges St, Lake Charles, LA 70601-7368 Ph: (337) 419-1873 |
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