Lucinda L Mundorf, MD is a medicare enrolled "Internal Medicine" physician in Waterford City, North Dakota. She went to George Washington University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Mckenzie County Healthcare Systems Inc and her current practice location is
709 4th Ave Ne, Waterford City, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 842-3771.
Lucinda L Mundorf is licensed to practice in Maryland (license number D0062705) 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 1497732374.
Physician's Profile
| Full Name | Lucinda L Mundorf |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 25 Years |
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| Location | 709 4th Ave Ne, Waterford City, North Dakota |
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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:
- Lucinda L Mundorf attended and graduated from George Washington University School Of Medicine in 1999
NPI Data:
- NPI Number: 1497732374
- Provider Enumeration Date: 12/30/2005
- Last Update Date: 08/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 7810913951
- Enrollment ID: I20190311001651
Medical Identifiers
Medical identifiers for Lucinda L Mundorf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497732374 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 17890 (Mississippi) | Secondary |
| 207R00000X | Internal Medicine | D0062705 (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mckenzie County Healthcare Systems Inc | 5890768006 | 24 |
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. Lucinda L Mundorf allows following entities to bill medicare on her behalf.
| Entity Name | Mckenzie County Healthcare Systems Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063420495
PECOS PAC ID: 5890768006
Enrollment ID: O20040817000016 |
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| Entity Name | Mckenzie County Healthcare Systems Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1518988948
PECOS PAC ID: 5890768006
Enrollment ID: O20061104000557 |
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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. Lucinda L Mundorf 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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Lucinda L Mundorf, MD
709 4th Ave Ne,
Waterford City, ND 58854-7628
Ph: (701) 842-3771 | Lucinda L Mundorf, MD
709 4th Ave Ne,
Waterford City, ND 58854-7628
Ph: (701) 842-3771 |
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