Hannah Morgan Lutz, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Clarksville, Arkansas. Her current practice location is
1100 E Poplar St, Clarksville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 754-5454.
Hannah Morgan Lutz is licensed to practice in Arkansas (license number 148025) 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 1225877145.
Provider's Profile
Full Name | Hannah Morgan Lutz |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 1100 E Poplar St, Clarksville, Arkansas |
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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: 1225877145
- Provider Enumeration Date: 05/21/2024
- Last Update Date: 05/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880137579
- Enrollment ID: I20240622000545
Medical Identifiers
Medical identifiers for Hannah Morgan Lutz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225877145 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | R107107 (Arkansas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 148025 (Arkansas) | 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. Hannah Morgan Lutz allows following entities to bill medicare on her behalf.
Entity Name | Johnson Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396794525 PECOS PAC ID: 1658360284 Enrollment ID: O20040702000283 |
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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. Hannah Morgan 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 |
Hannah Morgan Lutz, CRNA 11456 Highway 21, Clarksville, AR 72830-6524 Ph: (479) 567-0309 | Hannah Morgan Lutz, CRNA 1100 E Poplar St, Clarksville, AR 72830-4419 Ph: (479) 754-5454 |
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