Loretta Bazur-persing, NP in Fort Wayne, IN - Medicare Nurse Practitioner

Loretta Bazur-persing, NP is a medicare enrolled "Nurse Practitioner - Family" in Fort Wayne, Indiana. Her current practice location is 3025 N Anthony Blvd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 740-3031.

Loretta Bazur-persing is licensed to practice in Indiana (license number 71002754A) 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 1316192511.

Contact Information

	Loretta Bazur-persing, NP
	3025 N Anthony Blvd, Fort Wayne, IN 46805-2723
	(260) 740-3031
	Not Available

Map and Direction

Provider's Profile

Full Name	Loretta Bazur-persing
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3025 N Anthony Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316192511
Provider Enumeration Date: 12/02/2008
Last Update Date: 07/22/2020

Medicare PECOS Information:

PECOS PAC ID: 9133283930
Enrollment ID: I20090122000519

Medical Identifiers

Medical identifiers for Loretta Bazur-persing such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316192511	NPI	-	NPPES
200985990	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71002754A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71002754A (Indiana)	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. Loretta Bazur-persing allows following entities to bill medicare on her behalf.

Entity Name	St Joseph Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811952070 PECOS PAC ID: 2264413491 Enrollment ID: O20040525001030

Entity Name	Minuteclinic Diagnostics Of Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932171634 PECOS PAC ID: 3072548502 Enrollment ID: O20051003000830

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. Loretta Bazur-persing 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
Loretta Bazur-persing, NP 9900 Bren Rd E, Minnetonka, MN 55343-9664 Ph: (260) 498-9252	Loretta Bazur-persing, NP 3025 N Anthony Blvd, Fort Wayne, IN 46805-2723 Ph: (260) 740-3031

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911
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Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077
Amber N Gullion, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 Stellhorn Rd, Fort Wayne, IN 46815 Phone: 260-483-9081 Fax: 260-483-9196
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455
Kara Yackee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065

Loretta Bazur-persing, NP - Medicare Nurse Practitioner in Fort Wayne, IN