Marissa Kay Jewel Lundeen, APRN is a medicare enrolled "Family Medicine" physician in Macy, Nebraska. Her current practice location is
100 Indian Hills Dr, Macy, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 837-5381.
Marissa Kay Jewel Lundeen is licensed to practice in Nebraska (license number 115044) 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 1356113625.
Physician's Profile
Full Name | Marissa Kay Jewel Lundeen |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 100 Indian Hills Dr, Macy, Nebraska |
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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: 1356113625
- Provider Enumeration Date: 10/30/2023
- Last Update Date: 06/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951744234
- Enrollment ID: I20240205001091
Medical Identifiers
Medical identifiers for Marissa Kay Jewel Lundeen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356113625 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 115044 (Nebraska) | 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. Marissa Kay Jewel Lundeen allows following entities to bill medicare on her behalf.
Entity Name | Omaha Tribe Of Nebraska |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114922143 PECOS PAC ID: 4981664406 Enrollment ID: O20050309001036 |
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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. Marissa Kay Jewel Lundeen 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 |
Marissa Kay Jewel Lundeen, APRN 550 Kemon Dr, South Sioux City, NE 68776-4540 Ph: () - | Marissa Kay Jewel Lundeen, APRN 100 Indian Hills Dr, Macy, NE 68039-3023 Ph: (402) 837-5381 |
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