Elise Marie Lebrun, is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Sioux Falls, South Dakota. Her current practice location is
1305 W 18th St, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 333-1000.
Elise Marie Lebrun is licensed to practice in South Dakota (license number CR001124) 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 1699496430.
Physician's Profile
Full Name | Elise Marie Lebrun |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 1305 W 18th St, Sioux Falls, South Dakota |
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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: 1699496430
- Provider Enumeration Date: 09/09/2022
- Last Update Date: 11/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214304898
- Enrollment ID: I20221110002999
Medical Identifiers
Medical identifiers for Elise Marie Lebrun such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699496430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | CR001124 (South Dakota) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | CR001124 (South Dakota) | 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. Elise Marie Lebrun allows following entities to bill medicare on her behalf.
Entity Name | Sanford Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821017880 PECOS PAC ID: 8325950215 Enrollment ID: O20040115000388 |
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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. Elise Marie Lebrun 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 |
Elise Marie Lebrun, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Elise Marie Lebrun, 1305 W 18th St, Sioux Falls, SD 57105-0401 Ph: (605) 333-1000 |
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