September Leigh Wanzenried, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in La Vista, Nebraska. Her current practice location is
6901 S 84th St, La Vista, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(866) 389-2727.
September Leigh Wanzenried is licensed to practice in Nebraska (license number 112351) 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 1073030607.
Physician's Profile
Full Name | September Leigh Wanzenried |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 6901 S 84th St, La Vista, 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: 1073030607
- Provider Enumeration Date: 08/24/2017
- Last Update Date: 06/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 0648546549
- Enrollment ID: I20171020000784
Medical Identifiers
Medical identifiers for September Leigh Wanzenried such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073030607 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 2004 (Nebraska) | Secondary |
363LF0000X | Nurse Practitioner - Family | A148987 (Iowa) | Secondary |
363LF0000X | Nurse Practitioner - Family | 112351 (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. September Leigh Wanzenried allows following entities to bill medicare on her behalf.
Entity Name | Alegent Health Quick Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215066568 PECOS PAC ID: 3476657370 Enrollment ID: O20070403000169 |
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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. September Leigh Wanzenried 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 |
September Leigh Wanzenried, APRN 5205 Cass St, Omaha, NE 68132-2818 Ph: (402) 301-4348 | September Leigh Wanzenried, APRN 6901 S 84th St, La Vista, NE 68128 Ph: (866) 389-2727 |
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