Landon Lauber, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Plymouth, Indiana. His current practice location is
1915 Lake Ave, Plymouth, Indiana. You can reach out to his office (for appointments etc.) via phone at
(574) 948-4911.
Landon Lauber is licensed to practice in Indiana (license number 149768) 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 1902679160.
Provider's Profile
Full Name | Landon Lauber |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 1915 Lake Ave, Plymouth, Indiana |
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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: 1902679160
- Provider Enumeration Date: 10/31/2023
- Last Update Date: 09/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436692126
- Enrollment ID: I20240622000512
Medical Identifiers
Medical identifiers for Landon Lauber such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902679160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WS0200X | Registered Nurse - School | 28243465A (Indiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 149768 (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. Landon Lauber allows following entities to bill medicare on his behalf.
Entity Name | Great Lakes Anesthesia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720039977 PECOS PAC ID: 0648183442 Enrollment ID: O20031107000452 |
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Entity Name | Ams Northern Indiana Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427619840 PECOS PAC ID: 8022444306 Enrollment ID: O20200205000244 |
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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. Landon Lauber 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 |
Landon Lauber, 1700 Hope Blvd, Plymouth, IN 46563-1253 Ph: (574) 555-5555 | Landon Lauber, 1915 Lake Ave, Plymouth, IN 46563-9366 Ph: (574) 948-4911 |
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