Anna Marlene Schultheis, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Kokomo, Indiana. Her current practice location is
419 E Lincoln Rd, Kokomo, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 864-2400.
Anna Marlene Schultheis is licensed to practice in Indiana (license number 71009528A) 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 1871137786.
Physician's Profile
Full Name | Anna Marlene Schultheis |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 419 E Lincoln Rd, Kokomo, Indiana |
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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: 1871137786
- Provider Enumeration Date: 11/04/2019
- Last Update Date: 02/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254751019
- Enrollment ID: I20201015002260
Medical Identifiers
Medical identifiers for Anna Marlene Schultheis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871137786 | NPI | - | NPPES |
068010666 | Other | IN | MEDICARE |
300032802 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | F06190299 (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71009528A (Indiana) | 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. Anna Marlene Schultheis allows following entities to bill medicare on her behalf.
Entity Name | University Family Physicians, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043275787 PECOS PAC ID: 7911992797 Enrollment ID: O20040420000393 |
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Entity Name | Indiana Clinic-neurology, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578792271 PECOS PAC ID: 3678626140 Enrollment ID: O20090730000467 |
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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. Anna Marlene Schultheis 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 |
Anna Marlene Schultheis, FNP 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Anna Marlene Schultheis, FNP 419 E Lincoln Rd, Kokomo, IN 46902-3716 Ph: (765) 864-2400 |
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