Ms Lorijean Marjorie Mettetal, FNP-C in Manitowoc, WI

Ms Lorijean Marjorie Mettetal, FNP-C is a medicare enrolled "Nurse Practitioner" in Manitowoc, Wisconsin. Her current practice location is 601 Buffalo St, Lakeshore Community Health Clinic, Manitowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (423) 975-2200.

Ms Lorijean Marjorie Mettetal is licensed to practice in Wisconsin (license number 6919-33) 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 1336491430.

Contact Information

	Ms Lorijean Marjorie Mettetal, FNP-C
	601 Buffalo St, Lakeshore Community Health Clinic, Manitowoc, WI 54220-6817
	(423) 975-2200
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Lorijean Marjorie Mettetal
Gender	Female
Speciality	Nurse Practitioner
Location	601 Buffalo St, Manitowoc, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336491430
Provider Enumeration Date: 10/12/2012
Last Update Date: 09/02/2016

Medicare PECOS Information:

PECOS PAC ID: 9133418957
Enrollment ID: I20160518001574

Medical Identifiers

Medical identifiers for Ms Lorijean Marjorie Mettetal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336491430	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	6919-33 (Wisconsin)	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. Ms Lorijean Marjorie Mettetal allows following entities to bill medicare on her behalf.

Entity Name	Lakeshore Community Health Care, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245520519 PECOS PAC ID: 3173773124 Enrollment ID: O20130605000747

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. Ms Lorijean Marjorie Mettetal 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
Ms Lorijean Marjorie Mettetal, FNP-C 601 Buffalo St, Lakeshore Community Health Center, Manitowoc, WI 54220-6817 Ph: (423) 483-2192	Ms Lorijean Marjorie Mettetal, FNP-C 601 Buffalo St, Lakeshore Community Health Clinic, Manitowoc, WI 54220-6817 Ph: (423) 975-2200

Reviews and Comments

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Barbara J Backus, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-4500 Fax: 920-682-9378
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Angela R Vandewettering, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Bayshore Dr, Manitowoc, WI 54220 Phone: 920-682-6376
Andrew Allen Malkowski, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 926 S 8th St, Manitowoc, WI 54220 Phone: 920-683-4230 Fax: 920-683-4902

Ms Lorijean Marjorie Mettetal, FNP-C - Medicare Nurse Practitioner in Manitowoc, WI