Robert W Detlefsen, ARNP - Medicare Nurse Practitioner in North Liberty, IA

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Robert W Detlefsen, ARNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in North Liberty, Iowa. His current practice location is 455 N Mckenzie Ln, North Liberty, Iowa. You can reach out to his office (for appointments etc.) via phone at (319) 471-2479.

Robert W Detlefsen is licensed to practice in Iowa (license number G115825) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134206873.

Contact Information

Robert W Detlefsen, ARNP
455 N Mckenzie Ln,
North Liberty, IA 52317-8901
(319) 471-2479
Not Available

Map and Direction




Provider's Profile

Full NameRobert W Detlefsen
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location455 N Mckenzie Ln, North Liberty, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134206873
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 09/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5698774206
  • Enrollment ID: I20061208000407

Medical Identifiers

Medical identifiers for Robert W Detlefsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134206873NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health G-115825 (Iowa)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 75810 (Kansas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 2013003487 (Missouri)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health G115825 (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. Robert W Detlefsen allows following entities to bill medicare on his behalf.
Entity NameRodasi Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467691790
PECOS PAC ID: 0749418630
Enrollment ID: O20171101002494

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. Robert W Detlefsen 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 AddressPractice Location Address
Robert W Detlefsen, ARNP
5060 County Road 306,
Fulton, MO 65251-5436

Ph: (573) 581-1196		Robert W Detlefsen, ARNP
455 N Mckenzie Ln,
North Liberty, IA 52317-8901

Ph: (319) 471-2479

Reviews and Comments


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Andrea Michelle Delarm, MSN, ARNP, FNP-C
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Phone: 319-467-5050    Fax: 319-467-7130
Florence Iyabo Fimihan-ajayi,
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Practice Location: 1765 Lininger Ln, North Liberty, IA 52317
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Dr. Curtis Lowell Long, DNP PMHNP
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Practice Location: 1290 Jordan St, North Liberty, IA 52317
Phone: 319-249-0307    Fax: 319-358-2367
Jaime Bonner, ARNP
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Practice Location: 720 Pacha Pkwy, Suite 1, North Liberty, IA 52317
Phone: 319-384-8822    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.