Iola Pustelnik, CNM is a medicare enrolled "Advanced Practice Midwife" in Willoughby, Ohio. Her current practice location is
36001 Euclid Ave Ste C7, Willoughby, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 602-6710.
Iola Pustelnik is licensed to practice in * (Not Available) (license number ) 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 1275566556.
Provider's Profile
| Full Name | Iola Pustelnik |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 36001 Euclid Ave Ste C7, Willoughby, Ohio |
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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: 1275566556
- Provider Enumeration Date: 07/09/2006
- Last Update Date: 02/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 8820035744
- Enrollment ID: I20050412001422
Medical Identifiers
Medical identifiers for Iola Pustelnik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275566556 | NPI | - | NPPES |
| 000000509182 | Other | OH | ANTHEM |
| 7053577 | Other | OH | AETNA |
| 738087 | Other | OH | BUCKEYE |
| 000000221267 | Other | OH | UNISON |
| 2332729 | Medicaid | OH | |
| 363931 | Other | OH | WELLCARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | 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. Iola Pustelnik allows following entities to bill medicare on her behalf.
| Entity Name | Lake Hospital System, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952339996
PECOS PAC ID: 6002713922
Enrollment ID: O20031217000963 |
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| Entity Name | University Hospitals Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301 |
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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. Iola Pustelnik 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 |
|---|
Iola Pustelnik, CNM
36001 Euclid Ave Ste C7,
Willoughby, OH 44094-4650
Ph: (440) 602-6710 | Iola Pustelnik, CNM
36001 Euclid Ave Ste C7,
Willoughby, OH 44094-4650
Ph: (440) 602-6710 |
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