Martha J Lystad, NP is a medicare enrolled "Nurse Practitioner" in Greenbush, Minnesota. She graduated from nursing school in 1994 and has 30 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Altru Health System and her current practice location is
19120 200th St, Greenbush, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 782-2400.
Martha J Lystad is licensed to practice in Minnesota (license number R114162-5) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811088610.
Provider's Profile
| Full Name | Martha J Lystad |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 30 Years |
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| Location | 19120 200th St, Greenbush, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Martha J Lystad graduated from nursing school in 1994
NPI Data:
- NPI Number: 1811088610
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 10/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 2860402211
- Enrollment ID: I20060428000377
Medical Identifiers
Medical identifiers for Martha J Lystad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811088610 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | R114162-5 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Altru Health System | 1355251604 | 520 |
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. Martha J Lystad allows following entities to bill medicare on her behalf.
| Entity Name | Altru Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760494330
PECOS PAC ID: 1355251604
Enrollment ID: O20031110000135 |
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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. Martha J Lystad 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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Martha J Lystad, NP
Po Box 6002,
Grand Forks, ND 58206-6002
Ph: (701) 780-5000 | Martha J Lystad, NP
19120 200th St,
Greenbush, MN 56726-9280
Ph: (218) 782-2400 |
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