Mrs Edita Petilos Luansing, WHNP-BC in Ridgewood, NJ

Mrs Edita Petilos Luansing, WHNP-BC is a medicare enrolled "Nurse Practitioner - Women's Health" in Ridgewood, New Jersey. Her current practice location is 317 Franklin Ave, Ridgewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 447-1620.

Mrs Edita Petilos Luansing is licensed to practice in New Jersey (license number 26NJ00576300) 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 1598141053.

Contact Information

	Mrs Edita Petilos Luansing, WHNP-BC
	317 Franklin Ave, Ridgewood, NJ 07450-3316
	(201) 447-1620
	(201) 447-4977

Map and Direction

Provider's Profile

Full Name	Mrs Edita Petilos Luansing
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	317 Franklin Ave, Ridgewood, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598141053
Provider Enumeration Date: 08/07/2015
Last Update Date: 04/13/2021

Medicare PECOS Information:

PECOS PAC ID: 5799151155
Enrollment ID: I20221026002516

Medical Identifiers

Medical identifiers for Mrs Edita Petilos Luansing such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598141053	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	26NJ00576300 (New Jersey)	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. Mrs Edita Petilos Luansing allows following entities to bill medicare on her behalf.

Entity Name	Lifeline Medical Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821041617 PECOS PAC ID: 1456332170 Enrollment ID: O20040528000067

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. Mrs Edita Petilos Luansing 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
Mrs Edita Petilos Luansing, WHNP-BC 317 Franklin Ave, Ridgewood, NJ 07450-3316 Ph: (201) 447-1620	Mrs Edita Petilos Luansing, WHNP-BC 317 Franklin Ave, Ridgewood, NJ 07450-3316 Ph: (201) 447-1620

Reviews and Comments

Nurse Practitioner Nurses in Ridgewood, NJ

Jennifer Polizzano, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8345 Fax: 201-447-8103
Kelly Rumler, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000
Samantha Leigh Guillod, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000
Susan Bell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 505 Goffle Rd, Ridgewood, NJ 07450 Phone: 201-612-1006 Fax: 201-612-1091
Kimberly Michele Pryslak, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000
Mary Catherine Collins, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8371
Mrs. Marianne Marie Longo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 E Ridgewood Ave, 2nd Floor, Ridgewood, NJ 07450 Phone: 201-670-8660 Fax: 201-670-6693

Mrs Edita Petilos Luansing, WHNP-BC - Medicare Nurse Practitioner in Ridgewood, NJ