Pamela D Louderback, ARNP is a medicare enrolled "Registered Nurse - Wound Care" physician in St. Petersburg, Florida. She graduated from medical school in 1999 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sunergy Physicians Llc and her current practice location is
700 6th Street South, St. Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 446-3701.
Pamela D Louderback is licensed to practice in Florida (license number ARNP1095812) 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 1104932896.
Physician's Profile
| Full Name | Pamela D Louderback |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 26 Years |
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| Location | 700 6th Street South, St. Petersburg, 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. |
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Medical Education and Training:
- Pamela D Louderback graduated from medical school in 1999
NPI Data:
- NPI Number: 1104932896
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 11/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 0143294017
- Enrollment ID: I20040825001012
Medical Identifiers
Medical identifiers for Pamela D Louderback such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104932896 | NPI | - | NPPES |
| 304014300 | Medicaid | FL | |
| 7373704 | Other | | AETNA |
| P00226381 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | ARNP1095812 (Florida) | Secondary |
| 163WW0000X | Registered Nurse - Wound Care | ARNP1095812 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sunergy Physicians Llc | 0547672776 | 8 |
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. Pamela D Louderback allows following entities to bill medicare on her behalf.
| Entity Name | Nautilus Health Care Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912013558
PECOS PAC ID: 5991604852
Enrollment ID: O20040108000803 |
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| Entity Name | Sunergy Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386247658
PECOS PAC ID: 0547672776
Enrollment ID: O20201214000039 |
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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. Pamela D Louderback 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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Pamela D Louderback, ARNP
5220 Belfort Rd, Suite 130,
Jacksonville, FL 32256-6017
Ph: (904) 446-3701 | Pamela D Louderback, ARNP
700 6th Street South,
St. Petersburg, FL 33701-4814
Ph: (904) 446-3701 |
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