Lawanda Denise Judge, DNP, APRN, MSN, FNP- is a medicare enrolled "Family Medicine" in Charlotte, North Carolina. Her current practice location is
2727 Shamrock Dr, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(757) 581-9687.
Lawanda Denise Judge is licensed to practice in North Carolina (license number F03180867) 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 1932696861.
Provider's Profile
| Full Name | Lawanda Denise Judge |
|---|
| Gender | Female |
|---|
| Speciality | Family Medicine |
|---|
| Location | 2727 Shamrock Dr, Charlotte, North Carolina |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1932696861
- Provider Enumeration Date: 04/17/2018
- Last Update Date: 01/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133512205
- Enrollment ID: I20220214000948
Medical Identifiers
Medical identifiers for Lawanda Denise Judge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932696861 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 5010571 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | F03180867 (North Carolina) | 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. Lawanda Denise Judge allows following entities to bill medicare on her behalf.
| Entity Name | Minuteclinic Diagnostic Of North Carolina Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1699748608
PECOS PAC ID: 6002837572
Enrollment ID: O20051212000719 |
|---|
| Entity Name | Signify Health Medical Associates Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191001003503 |
|---|
| Entity Name | Vitae Health Medical North Carolina Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1265064414
PECOS PAC ID: 7719317932
Enrollment ID: O20200430000531 |
|---|
| Entity Name | Theoria Medical |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20210429000604 |
|---|
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. Lawanda Denise Judge 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 |
|---|
Lawanda Denise Judge, DNP, APRN, MSN, FNP-
8473 Carolina Lily Ln,
Charlotte, NC 28262-6471
Ph: (757) 581-9687 | Lawanda Denise Judge, DNP, APRN, MSN, FNP-
2727 Shamrock Dr,
Charlotte, NC 28205-2215
Ph: (757) 581-9687 |
Reviews and Comments