Jacob Edward Lundorf, AGNP in Bloomington, IN

Jacob Edward Lundorf, AGNP is a medicare enrolled "Nurse Practitioner" in Bloomington, Indiana. His current practice location is 2100 S Liberty Dr Ste B, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 336-5723.

Jacob Edward Lundorf is licensed to practice in Indiana (license number 71009487B) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598251175.

Contact Information

	Jacob Edward Lundorf, AGNP
	2100 S Liberty Dr Ste B, Bloomington, IN 47403
	(812) 336-5723
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacob Edward Lundorf
Gender	Male
Speciality	Nurse Practitioner
Location	2100 S Liberty Dr Ste B, Bloomington, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598251175
Provider Enumeration Date: 07/06/2018
Last Update Date: 11/19/2019

Medicare PECOS Information:

PECOS PAC ID: 3173873528
Enrollment ID: I20180905001362

Medical Identifiers

Medical identifiers for Jacob Edward Lundorf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598251175	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5010695 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	71009487B (Indiana)	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. Jacob Edward Lundorf allows following entities to bill medicare on his behalf.

Entity Name	Duke University Affiliated Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316975972 PECOS PAC ID: 3779489588 Enrollment ID: O20031211000642

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. Jacob Edward Lundorf 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
Jacob Edward Lundorf, AGNP 706 W Kirkwood Ave, Bloomington, IN 47404-5046 Ph: (574) 850-2069	Jacob Edward Lundorf, AGNP 2100 S Liberty Dr Ste B, Bloomington, IN 47403 Ph: (812) 336-5723

Reviews and Comments

Nurse Practitioner Nurses in Bloomington, IN

Ruana Cronin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-3299 Fax: 812-355-3290
Beverly J Shamloo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 S Liberty Dr, Bloomington, IN 47403 Phone: 812-676-4500
Pamela Ann Maclaughlin, DNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 S Adams St, Bloomington, IN 47403 Phone: 812-333-6324 Fax: 812-331-6700
Nichole Hickman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 S Landmark Ave, Bloomington, IN 47403 Phone: 812-335-2434 Fax: 812-335-7604
Robert G Pursell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9515
Emilee J Mcglone, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-330-3688 Fax: 812-355-3270
Erin Elizabeth Barnett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-6900

Jacob Edward Lundorf, AGNP - Medicare Nurse Practitioner in Bloomington, IN