Leah R Radke, APRN,CNP in Detroit Lakes, MN - Medicare Nurse Practitioner

Leah R Radke, APRN,CNP is a medicare enrolled "Nurse Practitioner - Family" in Detroit Lakes, Minnesota. Her current practice location is 1027 Washington Ave, Detroit Lakes, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 847-5611.

Leah R Radke is licensed to practice in Minnesota (license number 9607) 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 1457070641.

Contact Information

	Leah R Radke, APRN,CNP
	1027 Washington Ave, Detroit Lakes, MN 56501-3409
	(218) 847-5611
	Not Available

Map and Direction

Provider's Profile

Full Name	Leah R Radke
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1027 Washington Ave, Detroit Lakes, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457070641
Provider Enumeration Date: 08/23/2022
Last Update Date: 10/17/2022

Medicare PECOS Information:

PECOS PAC ID: 3476920653
Enrollment ID: I20221031003058

Medical Identifiers

Medical identifiers for Leah R Radke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457070641	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R34159 (North Dakota)	Secondary
363LF0000X	Nurse Practitioner - Family	9607 (Minnesota)	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. Leah R Radke allows following entities to bill medicare on her behalf.

Entity Name	St Marys Regional Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090

Entity Name	First Care Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073638565 PECOS PAC ID: 3678542842 Enrollment ID: O20040927000035

Entity Name	Bridges Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366886186 PECOS PAC ID: 4981659851 Enrollment ID: O20050809000114

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. Leah R Radke 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
Leah R Radke, APRN,CNP 1702 University Dr S, Fargo, ND 58103-4940 Ph: () -	Leah R Radke, APRN,CNP 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611

Reviews and Comments

Nurse Practitioner Nurses in Detroit Lakes, MN

Erin L Volden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 Fax: 218-846-2114
Susan K Cariveau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000
Jenna B Mazour, APRN,CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-844-2347
Janell Kjos, FNP, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881
Hope M Mathern, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881
Phebe Gordon, NPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611
Christina M Norton, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611

Leah R Radke, APRN,CNP - Medicare Nurse Practitioner in Detroit Lakes, MN