Ludmyla J Staddon, ARNP is a medicare enrolled "Nurse Practitioner - Family" physician in Lakeland, Florida. She graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Llc, Minuteclinic Llc, Minuteclinic Diagnostic Of Ohio Llc, Minuteclinic Diagnostic Of Massachusetts, Llc and her current practice location is
5010 S Florida Ave, Lakeland, Florida. You can reach out to her office (for appointments etc.) via phone at
(863) 644-2411.
Ludmyla J Staddon is licensed to practice in Florida (license number RN9245779) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093945594.
Physician's Profile
| Full Name | Ludmyla J Staddon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 16 Years |
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| Location | 5010 S Florida Ave, Lakeland, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ludmyla J Staddon graduated from medical school in 2009
NPI Data:
- NPI Number: 1093945594
- Provider Enumeration Date: 07/17/2009
- Last Update Date: 10/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 1355488438
- Enrollment ID: I20091021000762
Medical Identifiers
Medical identifiers for Ludmyla J Staddon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093945594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | NO500004756 (District Of Columbia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 9245779 (Florida) | Secondary |
| 207Q00000X | Family Medicine | AC004715 (Maryland) | Secondary |
| 207Q00000X | Family Medicine | CNP0032718 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | LG-0012150 (Delaware) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN9245779 (Florida) | Primary |
| 207Q00000X | Family Medicine | 53-81533-032 (Kansas) | Secondary |
| 207Q00000X | Family Medicine | 089621-23 (New Hampshire) | Secondary |
| 207Q00000X | Family Medicine | APRN03381 (Rhode Island) | Secondary |
| 207Q00000X | Family Medicine | CNP221478 (Maine) | Secondary |
| 207Q00000X | Family Medicine | 3018282 (Kentucky) | Secondary |
| 207Q00000X | Family Medicine | RN2379596 (Massachusetts) | Secondary |
| 207Q00000X | Family Medicine | 101.0135725 (Vermont) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Minuteclinic Llc | 6709850241 | 509 |
| Minuteclinic Llc | 6709850241 | 509 |
| Minuteclinic Diagnostic Of Ohio Llc | 2961425608 | 184 |
| Minuteclinic Diagnostic Of Massachusetts, Llc | 2264594944 | 99 |
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. Ludmyla J Staddon allows following entities to bill medicare on her behalf.
| Entity Name | Minuteclinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20070217000007 |
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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. Ludmyla J Staddon 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 |
Ludmyla J Staddon, ARNP 5010 S Florida Ave, Lakeland, FL 33813-2510 Ph: (863) 644-2411 | Ludmyla J Staddon, ARNP 5010 S Florida Ave, Lakeland, FL 33813-2510 Ph: (863) 644-2411 |
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