Lexi Lederhaus, MSN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Caledonia, Wisconsin. Her current practice location is
2408 4 Mile Rd, Caledonia, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 687-5995.
Lexi Lederhaus is licensed to practice in Wisconsin (license number 14891-33) 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 1164293262.
Provider's Profile
| Full Name | Lexi Lederhaus |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2408 4 Mile Rd, Caledonia, Wisconsin |
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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: 1164293262
- Provider Enumeration Date: 01/09/2024
- Last Update Date: 01/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305281593
- Enrollment ID: I20240227004059
Medical Identifiers
Medical identifiers for Lexi Lederhaus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164293262 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 14891-33 (Wisconsin) | 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. Lexi Lederhaus allows following entities to bill medicare on her behalf.
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421 |
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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. Lexi Lederhaus 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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Lexi Lederhaus, MSN, FNP
2992 Autumn Ln,
East Troy, WI 53120-2572
Ph: (608) 604-5470 | Lexi Lederhaus, MSN, FNP
2408 4 Mile Rd,
Caledonia, WI 53402-2091
Ph: (262) 687-5995 |
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