Andrea Place, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Fort Wayne, Indiana. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lutheran Medical Group Llc and her current practice location is
7916 W Jefferson Blvd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at
(260) 434-6412.
Andrea Place is licensed to practice in Indiana (license number 71011572) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467024455.
Physician's Profile
| Full Name | Andrea Place |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 7916 W Jefferson Blvd, Fort Wayne, Indiana |
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| Accepts Medicare Assignments | Yes. She 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:
- Andrea Place graduated from medical school in 2021
NPI Data:
- NPI Number: 1467024455
- Provider Enumeration Date: 07/11/2021
- Last Update Date: 07/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 6204234271
- Enrollment ID: I20211005001910
Medical Identifiers
Medical identifiers for Andrea Place such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467024455 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 28229563A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 28229563A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71011572 (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lutheran Medical Group Llc | 4981751617 | 264 |
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. Andrea Place allows following entities to bill medicare on her behalf.
| Entity Name | Lutheran Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164662805
PECOS PAC ID: 4981751617
Enrollment ID: O20090414000705 |
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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. Andrea Place 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 |
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Andrea Place, FNP-C
6920 Pointe Inverness Way Ste 200,
Fort Wayne, IN 46804-7934
Ph: (260) 434-6403 | Andrea Place, FNP-C
7916 W Jefferson Blvd,
Fort Wayne, IN 46804-4140
Ph: (260) 434-6412 |
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