Angela L Ladenburg, ARNP is a medicare enrolled "Nurse Practitioner" physician in Tacoma, Washington. Her current practice location is
4707 S 19th St Ste 130, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 752-7705.
Angela L Ladenburg is licensed to practice in Washington (license number AP30007974) 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 1508048182.
Physician's Profile
| Full Name | Angela L Ladenburg |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 4707 S 19th St Ste 130, Tacoma, Washington |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1508048182
- Provider Enumeration Date: 12/05/2007
- Last Update Date: 04/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 5991889420
- Enrollment ID: I20080222000259
Medical Identifiers
Medical identifiers for Angela L Ladenburg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508048182 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | AP30007974 (Washington) | Secondary |
| 363L00000X | Nurse Practitioner | AP30007974 (Washington) | 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. Angela L Ladenburg allows following entities to bill medicare on her behalf.
| Entity Name | Eric O Rasmussen |
|---|
| Entity Type | Practitioner - Dermatology |
|---|
| Entity Identifiers | NPI Number: 1467423376
PECOS PAC ID: 1153211453
Enrollment ID: I20100708000267 |
|---|
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. Angela L Ladenburg 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 |
|---|
Angela L Ladenburg, ARNP
4700 Point Fosdick Dr Nw Ste 219,
Gig Harbor, WA 98335-1706
Ph: (253) 851-7733 | Angela L Ladenburg, ARNP
4707 S 19th St Ste 130,
Tacoma, WA 98405-1151
Ph: (253) 752-7705 |
Reviews and Comments