Blake Alan Luebbehusen, MSN, RN, NP-C in Elkhart, IN

Blake Alan Luebbehusen, MSN, RN, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Elkhart, Indiana. He graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Cleanslate Medical Group Of Indiana Llc and his current practice location is 500 Arcade Ave Ste 210, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 389-5656.

Blake Alan Luebbehusen is licensed to practice in Indiana (license number 71010668A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154925907.

Contact Information

	Blake Alan Luebbehusen, MSN, RN, NP-C
	500 Arcade Ave Ste 210, Elkhart, IN 46514-2485
	(574) 389-5656
	Not Available

Map and Direction

Provider's Profile

Full Name	Blake Alan Luebbehusen
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	500 Arcade Ave Ste 210, Elkhart, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Blake Alan Luebbehusen graduated from nursing school in 2020

NPI Data:

NPI Number: 1154925907
Provider Enumeration Date: 11/23/2020
Last Update Date: 03/30/2021

Medicare PECOS Information:

PECOS PAC ID: 7113330259
Enrollment ID: I20210108000781

Medical Identifiers

Medical identifiers for Blake Alan Luebbehusen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154925907	NPI	-	NPPES
236040357	Other	IN	MEDICARE PTAN
300045960	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71010668A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cleanslate Medical Group Of Indiana Llc	4880963909	65

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. Blake Alan Luebbehusen allows following entities to bill medicare on his behalf.

Entity Name	Cleanslate Medical Group Of Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515

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. Blake Alan Luebbehusen 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
Blake Alan Luebbehusen, MSN, RN, NP-C 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610	Blake Alan Luebbehusen, MSN, RN, NP-C 500 Arcade Ave Ste 210, Elkhart, IN 46514-2485 Ph: (574) 389-5656

Reviews and Comments

Nurse Practitioner Nurses in Elkhart, IN

Elizabeth W Maina, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052
Ms. Cecilia Mumbi Maina, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052
Mr. Kenneth Francis Raderstorf Iii, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3301 County Road 6 E, Elkhart, IN 46514 Phone: 574-266-5342 Fax: 574-266-5847
Rosemary J Eash, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163
Lorraine Doris Swartzentruber, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052
Mrs. Catherine E Dos Santos, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3421 S Main St, Elkhart, IN 46517 Phone: 574-295-7178 Fax: 574-295-8822
Ann R. Moore, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Arcade Ave, Ste 210, Elkhart, IN 46514 Phone: 574-389-5656 Fax: 574-523-7891

Blake Alan Luebbehusen, MSN, RN, NP-C - Medicare Nurse Practitioner in Elkhart, IN