Cassandra A Johnson-labauex, is a medicare enrolled "Advanced Practice Midwife" in Lake Station, Indiana. Her current practice location is
2490 Central Ave, Lake Station, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 763-8112.
Cassandra A Johnson-labauex is licensed to practice in Indiana (license number 72000116) 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 1396815791.
Provider's Profile
Full Name | Cassandra A Johnson-labauex |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 2490 Central Ave, Lake Station, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396815791
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 04/29/2013
Medicare PECOS Information:
- PECOS PAC ID: 3274773775
- Enrollment ID: I20130705000095
Medical Identifiers
Medical identifiers for Cassandra A Johnson-labauex such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396815791 | NPI | - | NPPES |
200834370 | Medicaid | IN | |
72000116A | Other | IN | STATE LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 72000116 (Indiana) | Primary |
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. Cassandra A Johnson-labauex 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 |
Cassandra A Johnson-labauex, Po Box 1430, Portage, IN 46368-9230 Ph: (219) 763-8112 | Cassandra A Johnson-labauex, 2490 Central Ave, Lake Station, IN 46405-2122 Ph: (219) 763-8112 |
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