Ms Teri Ann Lavenbarg, ARNP-NP is a medicare enrolled "Nurse Practitioner - Family" physician in St Augustine, Florida. Her current practice location is
130 Health Park Blvd, St Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 826-3469.
Ms Teri Ann Lavenbarg is licensed to practice in Florida (license number APRN11004784) 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 1932232121.
Physician's Profile
| Full Name | Ms Teri Ann Lavenbarg |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 130 Health Park Blvd, St Augustine, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1932232121
- Provider Enumeration Date: 03/14/2007
- Last Update Date: 02/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 4385531128
- Enrollment ID: I20200210000188
Medical Identifiers
Medical identifiers for Ms Teri Ann Lavenbarg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932232121 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 14-55117-032 (Kansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11004784 (Florida) | 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. Ms Teri Ann Lavenbarg allows following entities to bill medicare on her behalf.
| Entity Name | Flagler Family Medicine P A |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215080809
PECOS PAC ID: 9335114347
Enrollment ID: O20040901000477 |
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| Entity Name | Pophealthcare, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164943957
PECOS PAC ID: 4880952977
Enrollment ID: O20171219001167 |
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| Entity Name | Flagler Family Nursing Home Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679172779
PECOS PAC ID: 4486063120
Enrollment ID: O20210510000145 |
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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. Ms Teri Ann Lavenbarg 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 |
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Ms Teri Ann Lavenbarg, ARNP-NP
130 Health Park Blvd,
St Augustine, FL 32086-5776
Ph: (904) 826-3469 | Ms Teri Ann Lavenbarg, ARNP-NP
130 Health Park Blvd,
St Augustine, FL 32086-5776
Ph: (904) 826-3469 |
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