Ms Susanne Janine Goodlaxson Landgrebe, ARNP, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Colfax, Iowa. Her current practice location is
106 N. Walnut St., Colfax, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 674-4186.
Ms Susanne Janine Goodlaxson Landgrebe is licensed to practice in Iowa (license number A-093590) 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 1275538886.
Provider's Profile
| Full Name | Ms Susanne Janine Goodlaxson Landgrebe |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 106 N. Walnut St., Colfax, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275538886
- Provider Enumeration Date: 06/20/2005
- Last Update Date: 01/31/2013
Medicare PECOS Information:
- PECOS PAC ID: 4789614884
- Enrollment ID: I20050818000296
Medical Identifiers
Medical identifiers for Ms Susanne Janine Goodlaxson Landgrebe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275538886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | A-093590 (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. Ms Susanne Janine Goodlaxson Landgrebe allows following entities to bill medicare on her behalf.
| Entity Name | Crown Clinics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336554393
PECOS PAC ID: 7517183213
Enrollment ID: O20140731002077 |
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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 Susanne Janine Goodlaxson Landgrebe 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 Susanne Janine Goodlaxson Landgrebe, ARNP, FNP-C
107 N. Walnut St.,
Colfax, IA 50054
Ph: (515) 674-4186 | Ms Susanne Janine Goodlaxson Landgrebe, ARNP, FNP-C
106 N. Walnut St.,
Colfax, IA 50054
Ph: (515) 674-4186 |
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