Ivelisse E Leonor, FAMILY NURSE PRACTIO in Saint Joseph, MI

Ivelisse E Leonor, FAMILY NURSE PRACTIO is a medicare enrolled "Nurse Practitioner - Family" in Saint Joseph, Michigan. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lakeland Medical Practices and her current practice location is 1234 Napier Ave, Saint Joseph, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 985-4632.

Ivelisse E Leonor is licensed to practice in Michigan (license number 4704291709) 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 1104146042.

Contact Information

	Ivelisse E Leonor, FAMILY NURSE PRACTIO
	1234 Napier Ave, Saint Joseph, MI 49085
	(269) 985-4632
	(269) 985-4523

Map and Direction

Provider's Profile

Full Name	Ivelisse E Leonor
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	1234 Napier Ave, Saint Joseph, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ivelisse E Leonor graduated from nursing school in 2010

NPI Data:

NPI Number: 1104146042
Provider Enumeration Date: 06/02/2010
Last Update Date: 08/01/2018

Medicare PECOS Information:

PECOS PAC ID: 5799809950
Enrollment ID: I20120801000299

Medical Identifiers

Medical identifiers for Ivelisse E Leonor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104146042	NPI	-	NPPES
000000669053	Other	IN	ANTHEM
71003297B	Other	IN	CSR
200989980	Medicaid	IN
28162828A	Other	IN	RN LICENSE
71003297A	Other	IN	APN PRESCRIPTIVE AUTHORITY
1104146942	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28162828A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71003297A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	4704291709 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lakeland Hospital, St Joseph	St joseph, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakeland Medical Practices	1658427042	260

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. Ivelisse E Leonor allows following entities to bill medicare on her behalf.

Entity Name	Lakeland Medical Practices
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216

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. Ivelisse E Leonor 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
Ivelisse E Leonor, FAMILY NURSE PRACTIO 1234 Napier Ave, Saint Joseph, MI 49085-2112 Ph: (269) 985-4632	Ivelisse E Leonor, FAMILY NURSE PRACTIO 1234 Napier Ave, Saint Joseph, MI 49085 Ph: (269) 985-4632

Reviews and Comments

Nurse Practitioner Nurses in Saint Joseph, MI

Holly Carrizales, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-983-8601
Miriam Mekila Morgan-skinner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4025 Health Park Ln, Saint Joseph, MI 49085 Phone: 269-429-7100 Fax: 269-429-1307
Allison Kristen Elizabeth Martin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-983-8300
Jennifer Ann Soper, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2690 S Cleveland Ave, Saint Joseph, MI 49085 Phone: 269-428-2800
Charsie A Nealey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4025 Health Park Ln, Saint Joseph, MI 49085 Phone: 269-429-7100 Fax: 269-429-1307
Suzan C Robarge, RN NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1030 Miners Rd, Saint Joseph, MI 49085 Phone: 269-408-1688 Fax: 269-408-1692
Abena F Amponsah, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4025 Health Park Ln, Saint Joseph, MI 49085 Phone: 269-429-7100 Fax: 269-429-1307

Ivelisse E Leonor, FAMILY NURSE PRACTIO - Medicare Nurse Practitioner in Saint Joseph, MI