Jessica Marie Laslovich, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Goshen, Indiana. She graduated from nursing school in 2022 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Faculty Physicians And Surgeons Of Llusm and her current practice location is
200 High Park Ave, Goshen, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 340-8384.
Jessica Marie Laslovich is licensed to practice in Indiana (license number 281848927) 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 1508515396.
Provider's Profile
Full Name | Jessica Marie Laslovich |
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Gender | Female |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 2 Years |
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Location | 200 High Park Ave, Goshen, Indiana |
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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. |
Medical Education and Training:
- Jessica Marie Laslovich graduated from nursing school in 2022
NPI Data:
- NPI Number: 1508515396
- Provider Enumeration Date: 03/21/2022
- Last Update Date: 06/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577942200
- Enrollment ID: I20230523003128
Medical Identifiers
Medical identifiers for Jessica Marie Laslovich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508515396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 28248221A (Indiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 281848927 (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1053 |
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. Jessica Marie Laslovich allows following entities to bill medicare on her behalf.
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
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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. Jessica Marie Laslovich 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 |
Jessica Marie Laslovich, 11217 Candice Dr, Fishers, IN 46038-5555 Ph: () - | Jessica Marie Laslovich, 200 High Park Ave, Goshen, IN 46526-4810 Ph: (317) 340-8384 |
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