Mrs Stacy L Luedeman, APNP, NP-C in Green Bay, WI

Mrs Stacy L Luedeman, APNP, NP-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Green Bay, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is 1160 Kepler Dr, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 288-5630.

Mrs Stacy L Luedeman is licensed to practice in Wisconsin (license number 4943-33) 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 1639295421.

Contact Information

	Mrs Stacy L Luedeman, APNP, NP-C
	1160 Kepler Dr, Green Bay, WI 54311-8321
	(920) 288-5630
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Stacy L Luedeman
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	1160 Kepler Dr, Green Bay, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Stacy L Luedeman attended and graduated from University Of Wisconsin School Of Medicine in 2012

NPI Data:

NPI Number: 1639295421
Provider Enumeration Date: 03/22/2007
Last Update Date: 07/09/2024

Medicare PECOS Information:

PECOS PAC ID: 2365670833
Enrollment ID: I20140107000895

Medical Identifiers

Medical identifiers for Mrs Stacy L Luedeman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639295421	NPI	-	NPPES
100024946	Medicaid	WI
100176040	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4943-33 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	4943 (Wisconsin)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4943-33 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Medical Group, Inc.	6709794258	3269

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 Stacy L Luedeman allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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 Stacy L Luedeman 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 Stacy L Luedeman, APNP, NP-C Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Mrs Stacy L Luedeman, APNP, NP-C 1160 Kepler Dr, Green Bay, WI 54311-8321 Ph: (920) 288-5630

Reviews and Comments

Nurse Practitioner Nurses in Green Bay, WI

Elizabeth Ostoja, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1976 Lime Kiln Rd, Green Bay, WI 54311 Phone: 920-445-7377 Fax: 920-592-9479
Tammy Ann Motquin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-445-7226
Mary C Fox, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3237 Voyager Dr, Green Bay, WI 54311 Phone: 920-468-8288
Mrs. Kristen Kay Lampe, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 720 S Van Buren St, Suite 201, Green Bay, WI 54301 Phone: 920-433-7488
Nicole L Lowe, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7300 Fax: 920-327-7348
Mr. Cristian A Vasiliev, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-965-4800
Corinne Elizabeth George, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500 Fax: 920-445-7301

Mrs Stacy L Luedeman, APNP, NP-C - Medicare Nurse Practitioner in Green Bay, WI