Laura Christine Renner, NP is a medicare enrolled "Nurse Practitioner - Family" in Clayton, Indiana. Her current practice location is
9712 S 200 W, Clayton, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 948-3200.
Laura Christine Renner is licensed to practice in Indiana (license number 71015264A) 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 1447039516.
Provider's Profile
| Full Name | Laura Christine Renner |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 9712 S 200 W, Clayton, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447039516
- Provider Enumeration Date: 09/27/2023
- Last Update Date: 10/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971951443
- Enrollment ID: I20231121002737
Medical Identifiers
Medical identifiers for Laura Christine Renner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447039516 | NPI | - | NPPES |
| 1104414760 | Other | IN | ANTHEM PTAN |
| 300095323 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | GAA-NP001697 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71015264A (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. Laura Christine Renner allows following entities to bill medicare on her behalf.
| Entity Name | Minuteclinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134191836
PECOS PAC ID: 6709850241
Enrollment ID: O20051024000186 |
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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. Laura Christine Renner 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 |
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Laura Christine Renner, NP
250 N Shadeland Ave,
Indianapolis, IN 46219-4959
Ph: () - | Laura Christine Renner, NP
9712 S 200 W,
Clayton, IN 46118
Ph: (317) 948-3200 |
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