Ludmyla J Staddon, ARNP is a medicare enrolled "Nurse Practitioner - Family" physician in Lakeland, Florida. She graduated from medical school in 2009 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Diagnostic Of Rhode Island Llc, Minuteclinic Llc, Minuteclinic Diagnostic Of New Hampshire Llc, Minuteclinic Diagnostic Of Ohio Llc, Mc Medical Group Of Dc, Pc 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 |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 17 Years |
|---|
| Location | 5010 S Florida Ave, Lakeland, Florida |
|---|
| 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: I20221212002133
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 Diagnostic Of Rhode Island Llc | 8224350863 | 24 |
| Minuteclinic Llc | 6709850241 | 571 |
| Minuteclinic Diagnostic Of New Hampshire Llc | 8628206968 | 2 |
| Minuteclinic Diagnostic Of Ohio Llc | 2961425608 | 190 |
| Mc Medical Group Of Dc, Pc | 3779629894 | 42 |
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 Diagnostic Of Rhode Island Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1649511841
PECOS PAC ID: 8224350863
Enrollment ID: O20141209002236 |
|---|
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 |
Reviews and Comments