Heather Marie Lutz, DO is a medicare enrolled "Family Medicine" physician in Frostproof, Florida. Her current practice location is
109 W Wall St, Frostproof, Florida. You can reach out to her office (for appointments etc.) via phone at
(963) 635-4891.
Heather Marie Lutz is licensed to practice in Florida (license number OS8816) 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 1477547990.
Physician's Profile
| Full Name | Heather Marie Lutz |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 109 W Wall St, Frostproof, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477547990
- Provider Enumeration Date: 09/12/2005
- Last Update Date: 11/16/2011
Medicare PECOS Information:
- PECOS PAC ID: 7416926761
- Enrollment ID: I20041002000009
Medical Identifiers
Medical identifiers for Heather Marie Lutz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477547990 | NPI | - | NPPES |
| 270137500 | Medicaid | FL | |
| OS8816 | Other | FL | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | OS8816 (Florida) | 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. Heather Marie Lutz allows following entities to bill medicare on her behalf.
| Entity Name | Florida Department Of Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134189103
PECOS PAC ID: 3072424282
Enrollment ID: O20040105000636 |
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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. Heather Marie Lutz 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 |
|---|
Heather Marie Lutz, DO
950 County Road 17a W,
Avon Park, FL 33825-2164
Ph: (863) 452-3000 | Heather Marie Lutz, DO
109 W Wall St,
Frostproof, FL 33843-2043
Ph: (963) 635-4891 |
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