Mrs Lori Rae Vlazny, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Monona, Iowa. Her current practice location is
101 Franklin St, Monona, Iowa. You can reach out to her office (for appointments etc.) via phone at
(563) 539-5656.
Mrs Lori Rae Vlazny is licensed to practice in Iowa (license number A075048) 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 1255850970.
Provider's Profile
Full Name | Mrs Lori Rae Vlazny |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Family |
---|
Location | 101 Franklin St, Monona, Iowa |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255850970
- Provider Enumeration Date: 09/13/2017
- Last Update Date: 09/13/2017
Medicare PECOS Information:
- PECOS PAC ID: 0244598944
- Enrollment ID: I20180102001075
Medical Identifiers
Medical identifiers for Mrs Lori Rae Vlazny such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255850970 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | A075048 (Iowa) | 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 Lori Rae Vlazny allows following entities to bill medicare on her behalf.
Entity Name | Sumner Community Club |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1801818661 PECOS PAC ID: 5890607691 Enrollment ID: O20040109000930 |
---|
Entity Name | Sumner Community Club |
---|
Entity Type | Part A Provider - Critical Access Hospital |
---|
Entity Identifiers | NPI Number: 1780684548 PECOS PAC ID: 5890607691 Enrollment ID: O20061104000206 |
---|
Entity Name | Sumner Community Club |
---|
Entity Type | Part A Provider - Critical Access Hospital |
---|
Entity Identifiers | NPI Number: 1366442295 PECOS PAC ID: 5890607691 Enrollment ID: O20061215000095 |
---|
Entity Name | Truhealth, Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1063843951 PECOS PAC ID: 2163653478 Enrollment ID: O20221224000107 |
---|
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 Lori Rae Vlazny 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 Lori Rae Vlazny, ARNP 19866 200th St, Farmersburg, IA 52047-8066 Ph: (563) 783-2434 | Mrs Lori Rae Vlazny, ARNP 101 Franklin St, Monona, IA 52159-8092 Ph: (563) 539-5656 |
Reviews and Comments