Mrs Shannon Lee Luczak, APN in South Bend, IN - Medicare Advanced Practice Midwife

Mrs Shannon Lee Luczak, APN is a medicare enrolled "Advanced Practice Midwife" in South Bend, Indiana. Her current practice location is 515 N Lafayette Blvd, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 232-2037.

Mrs Shannon Lee Luczak is licensed to practice in * (Not Available) (license number ) 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 1093156481.

Contact Information

	Mrs Shannon Lee Luczak, APN
	515 N Lafayette Blvd, South Bend, IN 46601-1003
	(574) 232-2037
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shannon Lee Luczak
Gender	Female
Speciality	Advanced Practice Midwife
Location	515 N Lafayette Blvd, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093156481
Provider Enumeration Date: 07/12/2013
Last Update Date: 03/04/2019

Medicare PECOS Information:

PECOS PAC ID: 9335424886
Enrollment ID: I20170323001172

Medical Identifiers

Medical identifiers for Mrs Shannon Lee Luczak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093156481	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	(* (Not Available))	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 Shannon Lee Luczak allows following entities to bill medicare on her behalf.

Entity Name	Allied Physicians Of Michiana, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508191768 PECOS PAC ID: 4486627601 Enrollment ID: O20091216000468

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 Shannon Lee Luczak 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 Shannon Lee Luczak, APN 1531 S Halsted St Unit 301, Chicago, IL 60607-5135 Ph: (989) 482-7696	Mrs Shannon Lee Luczak, APN 515 N Lafayette Blvd, South Bend, IN 46601-1003 Ph: (574) 232-2037

Reviews and Comments

Advanced Practice Midwife Nurses in South Bend, IN

Amber Taylor, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 621 Memorial Dr Ste 403, South Bend, IN 46601 Phone: 574-647-1405 Fax: 574-647-3970
Hannah Grace Yoder, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr Ste 403, South Bend, IN 46601 Phone: 547-647-1405
Laura Theresa Mabry, MSN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 621 Memorial Dr Ste 403, South Bend, IN 46601 Phone: 574-647-1405 Fax: 574-647-3970
Cristina Emch, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 621 Memorial Dr Ste 403, South Bend, IN 46601 Phone: 574-647-1405 Fax: 574-647-3970
Emilie Harvey, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 621 Memorial Dr Ste 403, South Bend, IN 46601 Phone: 574-647-1405 Fax: 574-647-3970
Ms. Kristin Joy Kile, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 621 Memorial Dr, Ste 403, South Bend, IN 46601 Phone: 574-647-1405

Mrs Shannon Lee Luczak, APN - Medicare Advanced Practice Midwife in South Bend, IN