Kellie J Lustenberger, NP in Carbondale, IL - Medicare Nurse Practitioner

Kellie J Lustenberger, NP is a medicare enrolled "Nurse Practitioner - Family" in Carbondale, Illinois. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Illinois Ob-gyn Associates Sc and her current practice location is 305 W. Jackson, Suite 100, New Horizons Obstetrics & Gynecology, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 457-0404.

Kellie J Lustenberger is licensed to practice in Illinois (license number 209006728) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1295923779.

Contact Information

	Kellie J Lustenberger, NP
	305 W. Jackson, Suite 100, New Horizons Obstetrics & Gynecology, Carbondale, IL 62901
	(618) 457-0404
	(618) 457-0440

Map and Direction

Provider's Profile

Full Name	Kellie J Lustenberger
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	305 W. Jackson, Suite 100, Carbondale, Illinois
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kellie J Lustenberger graduated from nursing school in 2007

NPI Data:

NPI Number: 1295923779
Provider Enumeration Date: 10/09/2007
Last Update Date: 05/14/2008

Medicare PECOS Information:

PECOS PAC ID: 1850478058
Enrollment ID: I20080412000078

Medical Identifiers

Medical identifiers for Kellie J Lustenberger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295923779	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209006728 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Illinois Ob-gyn Associates Sc	2961478185	7

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. Kellie J Lustenberger allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Ob-gyn Associates Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699838276 PECOS PAC ID: 2961478185 Enrollment ID: O20040908001144

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. Kellie J Lustenberger 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
Kellie J Lustenberger, NP 305 W Jackson St Ste 100, Carbondale, IL 62901-1474 Ph: (618) 457-0404	Kellie J Lustenberger, NP 305 W. Jackson, Suite 100, New Horizons Obstetrics & Gynecology, Carbondale, IL 62901 Ph: (618) 457-0404

Reviews and Comments

Nurse Practitioner Nurses in Carbondale, IL

Miss Whitney Mcguire, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522
Ashley Nicole Mitchell, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Natasha Charlyn Shafer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1340 Cedar Ct Ste 202, Carbondale, IL 62901 Phone: 618-529-7821
Mrs. Jennifer Sue Campos, FNP-BC, CCRN, CMC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Lindsay B Casolari, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Andrea Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Monica L Nagele, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 Cedar Ct, Carbondale, IL 62901 Phone: 618-490-1045

Kellie J Lustenberger, NP - Medicare Nurse Practitioner in Carbondale, IL