Ms Terrie Lee Vann Ward, NP is a medicare enrolled "Nurse Practitioner - Family" in Spring Lake Park, Minnesota. Her current practice location is
8300 Westwood Rd Ne, Spring Lake Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(847) 606-3303.
Ms Terrie Lee Vann Ward is licensed to practice in Illinois (license number 209-004798) 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 1093706194.
Provider's Profile
| Full Name | Ms Terrie Lee Vann Ward |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 8300 Westwood Rd Ne, Spring Lake Park, Minnesota |
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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: 1093706194
- Provider Enumeration Date: 10/29/2005
- Last Update Date: 10/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 6709875248
- Enrollment ID: I20161206000979
Medical Identifiers
Medical identifiers for Ms Terrie Lee Vann Ward such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093706194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | A139556 (Iowa) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209004798 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209-004798 (Illinois) | 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 Terrie Lee Vann Ward allows following entities to bill medicare on her behalf.
| Entity Name | Navos |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194728105
PECOS PAC ID: 4385545474
Enrollment ID: O20040120001086 |
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| Entity Name | Willapa Counseling Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174570949
PECOS PAC ID: 4587552831
Enrollment ID: O20040308001221 |
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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 Terrie Lee Vann Ward 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 |
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Ms Terrie Lee Vann Ward, NP
8300 Westwood Rd Ne,
Spring Lk Pk, MN 55432-1319
Ph: (847) 606-3303 | Ms Terrie Lee Vann Ward, NP
8300 Westwood Rd Ne,
Spring Lake Park, MN 55432-1319
Ph: (847) 606-3303 |
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